BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2041916 · Received March 29, 2011

    Report

    Report Number
    1834066-2011-00003
    Event Type
    Injury
    Date Received
    March 29, 2011
    Report Date
    March 29, 2011
    Manufacturer
    CHAMPION MANUFACTURING
    Product Code
    KMN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    A FACILITY ADMINISTRATOR REPORTED AN EMPLOYEE WAS RAISING THE LEG REST OF A RECLINER CHAIR. AFTER RELEASING THE ACTUATOR TO DEPLOY THE LEG REST, SHE ATTEMPTED TO SLOW THE OPENING WITH HER HAND AND PLACED HER HAND IN THE METAL MECHANISM, BROKE HER FINGER AND REQUIRED EIGHT STITCHES. THE FACILITY ADMINISTRATOR REPORTS THIS IS NOT AN ISSUE WITH THE CHAIR BUT AN ERROR OF OPERATION. CHAIR IS STILL IN SERVICE AND FACILITY ADMINISTRATOR CONFIRMS THEY HAVE IN SERVICE DVD AND THE OPERATION MANUAL WHICH COVERS PROPER OPERATION.

    Description of Event or Problem · 1

    THE FACILITY STATES ONE OF THEIR EMPLOYEES WAS RAISING THE LEG REST OF THE CHAIR AND THEY PUT THEIR HAND ON THE METAL MECHANISM. THEIR FINGER ALLEGEDLY GOT CAUGHT BY THE PARTIALLY CLOSING LEG REST. THIS ALLEGEDLY RESULTED IN A BROKEN FINGER AND STITCHES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 KMN CHAMPION MANUFACTURING UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention