BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VISTA

    MDR report key: 10970 · Received January 18, 1994

    Report

    Report Number
    MW1000414
    Event Type
    Malfunction
    Date Received
    January 18, 1994
    Date of Event
    January 5, 1994
    Manufacturer
    EVEREST AND JENNINGS INT. LTD.
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHITE PLASTIC SECURING DEVICE WHICH HELD SEAT BAR TO CHAIR FRAME FELL OUT CREATING A VERY UNSTABLE CHAIR. RESIDENT HAD BEEN USING THE CHAIR AS A SUPPORT TO AMBULATE AND THE POTENTIAL FOR A COLLAPSE WAS IMMINENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VISTA IOR EVEREST AND JENNINGS INT. LTD.

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Other