FDA Adverse Event
Summary report: N
WINCO
MDR report key: 2021917
·
Received March 7, 2011
Report
- Report Number
- 1027229-2011-00001
- Date Received
- March 7, 2011
- Date of Event
- February 28, 2011
- Report Date
- March 7, 2011
- Manufacturer
- WINCO MFG, LLC
- Product Code
- FRJ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PT WAS STANDING WHILE RECEIVING A BLOOD PRESSURE CHECK AST A DIALYSIS CENTER. AS THE PT PREPARED TO SIT IN THE CHAIR, SHE BRACED HERSELF WITH THE ARMS OF THE CHAIR WHEN THE RIGHT DROP-ARM OF THE CHAIR COLLAPSED, PINCHING HER RIGHT INDEX FINGER, RESULTING IN A LACERATION THAT REQUIRED STITCHES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | WINCO | DROP ARM CARE CLINER | FRJ | WINCO MFG, LLC | 655A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Other |