FDA Adverse Event
Other
Summary report: N
40-OS CHAIR
MDR report key: 1023720
·
Received March 28, 2008
Report
- Report Number
- 1523574-2008-00005
- Event Type
- Other
- Date Received
- March 28, 2008
- Date of Event
- February 19, 2008
- Report Date
- March 24, 2008
- Manufacturer
- FERNO-WASHINGTON, INC.
- Product Code
- FPO
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
PRODUCT IS ELEVEN YEARS OLD. FATIGUE / AGE AND MAINTENANCE CONTRIBUTING FACTORS.
Description of Event or Problem · 1
USER REPORTED RIGHT LOWER SUPPORT BAR OF THE CHAIR DETACHED CAUSING THE CHAIR TO SHIFT TO THE LEFT. PT WAS MAINTAINED ON THE CHAIR. PT STATED SHE HAD MINOR DISCOMFORT IN THE RIGHT FLANK REGION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | 40-OS CHAIR | MODEL 40 CHAIR | FPO | FERNO-WASHINGTON, INC. | 40-OS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 40 YR | Other |