BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TREATMENT RECLINER

    MDR report key: 2073050 · Received April 21, 2011

    Report

    Report Number
    1831750-2011-03891
    Event Type
    Malfunction
    Date Received
    April 21, 2011
    Date of Event
    March 24, 2011
    Report Date
    March 24, 2011
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FRK
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE FOOTREST SECTION COMING UP TOO FAST. IT ACTUALLY BROUGHT A INFUSION PT TO TEARS. NO MEDICAL INTERVENTION WAS NEEDED.

    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 UNK