BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    CHAIRMAN DENTAL CHAIR

    MDR report key: 109955 · Received July 31, 1997

    Report

    Report Number
    1017522-1997-00103
    Event Type
    Malfunction
    Date Received
    July 31, 1997
    Report Date
    July 31, 1997
    Manufacturer
    SIEMENS PELTON & CRANE
    Product Code
    KLC
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PELTON & CRANE RECEIVED A CALL FROM AN AUTHORIZED SERVICE TECHNICIAN WHO WAS AT A DOCTORS OFFICE IN REGARDS TO THE DOCTORS CHAIRMAN CHAIR BREAKING WHILE LIFTING A PT. THE PT DID NOT FALL OUT OF THE CHAIR. THERE WERE NO INJURIES REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHAIRMAN DENTAL CHAIR DENTAL OPERATORY CHAIR KLC SIEMENS PELTON & CRANE L1 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA