FDA Adverse Event Malfunction Summary report: N

MEDLINE MICROBAN SHOWER BENCH

MDR report key: 14236247 · Received April 27, 2022

Report

Report Number
MW5109406
Event Type
Malfunction
Date Received
April 27, 2022
Date of Event
March 1, 2022
Report Date
April 25, 2022
Manufacturer
MEDLINE INDUSTRIES, LP - NORTHFIELD
Product Code
ILS
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MS, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND
Health Professional
*

Narratives

Description of Event or Problem · 0

MY (B)(6) MOTHER WAS USING HER MEDLINE SHOWER BENCH, THAT WE PURCHASED IN (B)(6) 2021, AND IT BEGAN TO COLLAPSE. THE LEGS BEGAN TO SPLAY ON ONE SIDE, AND SHE BEGAN TO FALL. SHE CAUGHT HERSELF WITH THE SHOWER BARS AND WAS ABLE TO LIFT HERSELF UP OFF OF THE COLLAPSING BENCH. I TRIED TO RETURN THE BENCH TO (B)(6), BUT THEY DON'T TAKE RETURNS AFTER 30 DAYS FROM THE PURCHASE. I WAS TOLD TO CONTACT THE MANUFACTURER. THE BENCH WAS RATED FOR 300 LBS. AND MY MOTHER WEIGHS APPROXIMATELY (B)(6) LBS. YOU CAN SEE IN THE PHOTOS THAT THE METAL LEGS BENT AT THE CENTER CONNECTION. I CONTACTED MEDLINE AND EMAILED THEM PHOTOS. THEY SENT A SHIPPING LABEL AND HAD ME RETURN THE INTACT BENCH TO THEM. I RECEIVED AN EMAIL THAT STATED THE BENCH WAS DEFECTIVE. THEY ISSUED A CHECK FOR A REFUND OF THE PURCHASE PRICE ONLY. FDA SAFETY REPORT ID # (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
109751 MEDLINE MICROBAN SHOWER BENCH ADAPTOR, HYGIENE ILS MEDLINE INDUSTRIES, LP - NORTHFIELD WRX276733V1 88521040003

Patients

Seq Age Sex Outcome Treatment
1 86 YR Female OTC MEDS ARE NOT APPLICABLE TO THIS DEVICE| USES A ROLLATOR MEDICATIONS ARE NOT APPLICABLE TO THIS DEVICE