BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDICHAIR "A" REG.

    MDR report key: 207799 · Received January 26, 1999

    Report

    Report Number
    MW1015509
    Event Type
    Other
    Date Received
    January 26, 1999
    Date of Event
    December 26, 1998
    Report Date
    January 11, 1999
    Manufacturer
    SUNRISE MEDICAL HHG, INC. PERSONAL CARE PRODUCTS DIV.
    Product Code
    FRJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NC, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THIS 48 YEAR OLD MALE PT (6'5", 170 LBS) WAS PLACED IN A "CARDIAC CHAIR" WITH WRIST RESTRAINTS SECURED TO THE CHAIR FRAME. THE VELCRO SEATBELT WAS ALSO SECURED. THE HEAD OF THE CHAIR WAS PLACED IN SLIGHTLY LESS THAN A NINETY DEGREE ANGLE, AND THE WHEEL LOCKS WERE ON. THE PT SLID DOWN IN THE CHAIR; THE NURSE CARING FOR THE PT TURNED HIS BACK TO THE PT MOMENTARILY. THE PT, WITH THE CHAIR STILL SECURED TO HIM, TIPPED THE CHAIR FORWARD AND FELL, STRIKING HIS HEAD ON THE FLOOR. THE PT SUSTAINED A SMALL SUPERFICIAL LACERATION TO HIS FOREHEAD WHICH REQUIRED SUTURES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICHAIR "A" REG. CHAIR FRJ SUNRISE MEDICAL HHG, INC. PERSONAL CARE PRODUCTS DIV. DK DK

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other