BEUDAMED
    FDA Adverse Event Other Summary report: N

    ARJO SAF-KARY

    MDR report key: 113775 · Received August 15, 1997

    Report

    Report Number
    1922538-1997-00067
    Event Type
    Other
    Date Received
    August 15, 1997
    Date of Event
    May 27, 1997
    Report Date
    August 12, 1997
    Manufacturer
    ARJO MFG. CO.
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    TRANSFERING RESIDENT FROM BED TO CHAIR, CHAIR DISENGAGED FROM FRAME, RESIDENT FELL TO FLOOR. RESIDENT INJURED HED RIGHT ARM AND HAND. X-RAYS TAKEN WERE NEGATIVE. ONE PERSON INVOLVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARJO SAF-KARY CHAIR W/CASTORS INM ARJO MFG. CO. 30XXXX NA

    Patients

    Seq Age Sex Outcome Treatment
    1 92 YR Other