BEUDAMED
    FDA Adverse Event Other Summary report: N

    LAZY BOY

    MDR report key: 187633 · Received September 16, 1998

    Report

    Report Number
    MW1014584
    Event Type
    Other
    Date Received
    September 16, 1998
    Date of Event
    August 26, 1998
    Report Date
    September 1, 1998
    Manufacturer
    LA-Z-BOY, INC.
    Product Code
    INN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TN, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS GETTING UP OUT OF CHAIR, AND SHE PUSHED HERSELF UP BY PUSHING WT AGAINST CHAIR. CHAIR SLID OUT FROM UNDERNEATH HER. BRAKES ONLY ON BACK WHEELS, NOT ON FRONT. BRAKES WERE LOCKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LAZY BOY CHAIR / RECLINER INN LA-Z-BOY, INC. 97807 D588

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Other