FDA Adverse Event Other Summary report: N

AFFINITY 3

MDR report key: 788978 · Received June 8, 2006

Report

Report Number
1824206-2006-00027
Event Type
Other
Date Received
June 8, 2006
Date of Event
May 16, 2006
Report Date
May 17, 2006
Manufacturer
HILL-ROM RITTER
Product Code
KNC
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE FIELD INVESTIGATION REPORTED THE BED WAS INSPECTED AND THE FOOT SECTION LATCHED PROPERLY. PREVENTIVE MAINTENANCE WAS PERFORMED ON THE BED ON 04/25/2006 IN WHICH THE FOOT SECTION WAS CHECKED. THE CONCLUSION IS THAT THE NURSING STAFF MAY NOT BE INSTALLING THE FOOT SECTION PROPERLY. THE HILL-ROM TECHNICIAN IN-SERVICED THE NURSE MANAGER AND DEMONSTRATED THAT IF PROPERLY LATCHED, THE FOOT SECTION CANNOT BE REMOVED, UNLESS THE LATCH IS MANUALLY RELEASED.

Description of Event or Problem · 1

DOCTOR ALLEGED THE FOOT SECTION FELL OFF DURING A DELIVERY. THERE WERE NO INJURIES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AFFINITY 3 BIRTHING BED KNC HILL-ROM RITTER 3700 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN