BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LUMEX DIALYSIS CHAIR

    MDR report key: 1172803 · Received September 18, 2008

    Report

    Report Number
    1172803
    Event Type
    Malfunction
    Date Received
    September 18, 2008
    Date of Event
    August 13, 2008
    Report Date
    September 18, 2008
    Manufacturer
    GRAHAM FIELD HEALTH PRODUCTS
    Product Code
    FKS
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NM, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CHAIR CABLE BROKE WHILE PT WAS SITTING IN CHAIR. BACK OF CHAIR COLLAPSED BACKWARD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LUMEX DIALYSIS CHAIR DIALYSIS CHAIR FKS GRAHAM FIELD HEALTH PRODUCTS LUMEX 71707605910

    Patients

    Seq Age Sex Outcome Treatment
    1 Other