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