BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TREATMENT RECLINER

    MDR report key: 2000229 · Received February 3, 2011

    Report

    Report Number
    1831750-2011-01030
    Event Type
    Malfunction
    Date Received
    February 3, 2011
    Date of Event
    January 7, 2011
    Report Date
    January 7, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FRK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SVC REPORT THAT THE CASTER WHEEL IS BENT. BOTH THE FRONT CASTER WHEELS WHERE THEY ATTACH TO THE WOOD FRAME ARE NO LONGER ATTACHED. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TREATMENT RECLINER EXAMINATION AND TREATMENT CHAIR FRK STRYKER MEDICAL 3500000710 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA