BEUDAMED
    FDA Adverse Event Other Summary report: N

    GUARDIAN

    MDR report key: 193131 · Received October 23, 1998

    Report

    Report Number
    2020334-1998-00021
    Event Type
    Other
    Date Received
    October 23, 1998
    Date of Event
    September 22, 1998
    Report Date
    October 22, 1998
    Manufacturer
    SUNRISE MEDICAL TECNOLOGIAS
    Product Code
    INN
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT END USER SAT DOWN ON CHAIR AND ONE REAR LEG BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GUARDIAN SHOWER CHAIR INN SUNRISE MEDICAL TECNOLOGIAS 30400 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Other