BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GOLDEN CAPRI

    MDR report key: 116220 · Received August 25, 1997

    Report

    Report Number
    2523955-1997-90001
    Event Type
    Malfunction
    Date Received
    August 25, 1997
    Date of Event
    June 26, 1997
    Report Date
    August 19, 1997
    Manufacturer
    GOLDEN TECHNOLOGIES, INC.
    Product Code
    INN
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    AS STATED BY LEGAL COUNSEL TO PT: USER IS A PARKINSON'S PT WHO WHILE SITTING IN THE GOLDEN CAPRI CHAIR DRINKING A MILKSHAKE, BECAUSE OF HIS PARKINSON'S CONDITION, HIS HAND SHOOK AND THE MILKSHAKE SPILLED ONTO THE CONTROL BOX ON THE GOLDEN CAPRI RECLINDER. APPARENTLY THAT CAUSED A SHORT WHICH CAUSED PT TO BE BURNED BY THE CONTROL BOX. AS A RESULT OF THIS BURN, HE SPENT 18 DAYS IN THE HOSP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GOLDEN CAPRI POWER RECLINER LIFT CHAIR INN GOLDEN TECHNOLOGIES, INC. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization