AFFINITY 4 BED FRAME P3700E000001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2020-01-03 for AFFINITY 4 BED FRAME P3700E000001 manufactured by Hill-rom Batesville.

Event Text Entries

[180366626] The hillrom technician found the left and right head casters needed to be replaced. Per the hillrom service manual the affinity? Three birthing bed and affinity? Four birthing beds require an effective maintenance program. We recommend that you perform semiannual preventive maintenance. Check the tires for cuts, wear, tread life, etc. Apply the brake, and check to ensure that the bed will not move. If the bed moves, inspect it for wear, and adjust if required. Apply the steering pedal and check the steering to ensure proper locking action when activated. A search of the hillrom maintenance records showed hillrom performed preventative maintenance on this bed in november 2019. It is unknown if the facility performed any other preventative maintenance on this bed. The technician replaced the left and right head casters to resolve the issue. Based on this information, no further action is required.
Patient Sequence No: 1, Text Type: N, H10


[180366627] Hillrom received a report from the hillrom service technician stating the brakes were not holding. The bed was located at the account. There was no patient/user injury reported. This report was filed in our complaint handling system as complaint #(b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1824206-2020-00001
MDR Report Key9548339
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2020-01-03
Date of Report2019-12-24
Date of Event2019-12-24
Date Mfgr Received2019-12-24
Device Manufacturer Date2014-10-22
Date Added to Maude2020-01-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactEMILY MITCHELL
Manufacturer Street1069 STATE ROUTE 46 EAST
Manufacturer CityBATESVILLE IN 47006
Manufacturer CountryUS
Manufacturer Postal47006
Manufacturer Phone8129310130
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAFFINITY 4 BED FRAME
Generic NameTABLE, OBSTETRIC
Product CodeKNC
Date Received2020-01-03
Model NumberP3700E000001
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerHILL-ROM BATESVILLE
Manufacturer Address1069 STATE ROUTE 46 EAST BATESVILLE IN 47006 US 47006


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-03

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