FDA Adverse Event
Injury
Summary report: N
PATIENT ROOM WALL SAVER RECL
MDR report key: 1981015
·
Received January 31, 2011
Report
- Report Number
- 1831750-2011-00914
- Event Type
- Injury
- Date Received
- January 31, 2011
- Date of Event
- December 9, 2010
- Report Date
- January 3, 2011
- Manufacturer
- STRYKER CORP, MEDICAL DIVISION
- Product Code
- FRK
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE RECLINER TIPPED AND A PATIENT FELL OUT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PATIENT ROOM WALL SAVER RECL | EXAMINATION AND TREATMENT CHAIR | FRK | STRYKER CORP, MEDICAL DIVISION | 3500000730 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Other |