BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    RECLINING CHAIRS

    MDR report key: 12438683 · Received September 7, 2021

    Report

    Report Number
    MW5103754
    Event Type
    Malfunction
    Date Received
    September 7, 2021
    Report Date
    September 2, 2021
    Manufacturer
    WIELAND DESIGNS INC.
    Product Code
    FRK
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RECLINING CHAIRS EASILY TIP FORWARD WHEN LEG REST IS OUT. CONTRIBUTED TO PATIENT FALLS. FDA SAFETY REPORT ID # (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1328525 RECLINING CHAIRS CHAIR, EXAMINATION AND TREATMENT FRK WIELAND DESIGNS INC.

    Patients

    Seq Age Sex Outcome Treatment
    1