| Brand Name | Affinity 4 Birthing Bed |
| Common Device Name | TABLE, OBSTETRIC (AND ACCESSORIES) |
| Manufacturer (Section D) |
| BAXTER HEALTHCARE CORPORATION |
| deerfield IL |
|
| Manufacturer (Section G) |
| HILL-ROM BATESVILLE |
| 1069 state route 46 east |
|
| batesville IN 47006 |
|
| Manufacturer Contact |
|
|
| 25212 w. illinois route 120 |
| round lake, IL 60073
|
|
+1(224)270-5355
|
|
| MDR Report Key | 50148731 |
| Report Number | 1824206-2026-01815 |
| Device Sequence Number | 10708863 |
| Product Code |
KNC
|
| UDI-Device Identifier | 00887761000896 |
| UDI-Public | (01)00887761000896 |
| Combination Product (Y/N) | N |
| Initial Reporter State | CA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K915779 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Type of Report
| Initial |
| Report Date (Section B) |
08/05/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Other
|
| Device Model Number | P3700E |
| Device Catalogue Number | P3700E000014 |
| Device Lot Number | N/A |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/09/2026 |
| Initial Report FDA Received Date | 08/05/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Required Intervention;
|
| Patient Sex | Unknown |
|
|