BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BLICKMAN HEALTH INDUSTRIES

    MDR report key: 129685 · Received October 27, 1997

    Report

    Report Number
    129685
    Event Type
    Injury
    Date Received
    October 27, 1997
    Date of Event
    October 20, 1997
    Report Date
    October 22, 1997
    Manufacturer
    BLICKMAN HEALTH INDUSTRIES
    Product Code
    FZK
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THIS IS THE SECOND OCCURRENCE OF A STAINLESS STEEL OR CHAIR THAT BROKE WHEN AN EMPLOYEE SAT ON IT. ONE EMPLOYEE IS OUT ON DISABILITY SECONDARY TO HER BACK INJURY. THE SECOND EMPLOYEE'S INJURIES ARE LESS SEVERE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BLICKMAN HEALTH INDUSTRIES STAINLESS STEEL OPERATING ROOM STOOL FZK BLICKMAN HEALTH INDUSTRIES 7742 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Disability