BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MOBILE TREAT. REC. LY5007

    MDR report key: 2051366 · Received April 4, 2011

    Report

    Report Number
    1831750-2011-03233
    Event Type
    Malfunction
    Date Received
    April 4, 2011
    Date of Event
    March 6, 2011
    Report Date
    March 7, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FRK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL: MECHANISM.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE RECLINER MECHANISM IS BROKEN WITH SHARP EDGES PRESENT. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES WERE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOBILE TREAT. REC. LY5007 MEDICAL CHAIR FRK STRYKER MEDICAL 3300000020 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA