FDA Adverse Event
Malfunction
Summary report: N
SECA 284
MDR report key: 19163192
·
Received April 23, 2024
Report
- Report Number
- 19163192
- Event Type
- Malfunction
- Date Received
- April 23, 2024
- Date of Event
- March 28, 2024
- Report Date
- March 29, 2024
- Manufacturer
- SECA
- Product Code
- FRI
- UDI-DI
- 04012030020435
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT STEPPED ON EMERGENCY DEPARTMENT TRIAGE SCALE WITH FORCE AND GLASS WEIGHING SURFACE SHATTERED/EXPLODED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1328531 | SECA 284 | SCALE, STAND-ON, PATIENT | FRI | SECA | 284 | 04012030020435 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |