FDA Adverse Event Malfunction Summary report: N

ALLEN LIFT ASSIST BEACH CHAIR

MDR report key: 21577125 · Received March 11, 2025

Report

Report Number
3010216206-2025-00002
Event Type
Malfunction
Date Received
March 11, 2025
Date of Event
February 24, 2025
Report Date
March 11, 2025
Manufacturer
BAXTER HEALTHCARE CORPORATION
Product Code
CCX
UDI-DI
00615521004125
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE BEACH CHAIR SHOULDER POSITIONER IS DESIGNED TO POSITION AND SUPPORT THE PATIENT¿S HEAD AND TORSO IN A VARIETY OF SURGICAL PROCEDURES INCLUDING, BUT NOT LIMITED TO ORTHOPEDIC SURGERIES LIKE, ROTATOR CUFF, TOTAL SHOULDER, REVERSE TOTAL SHOULDER, SLAP REPAIR AND OTHER SHOULDER SURGERY. THESE DEVICES ARE INTENDED TO BE USED BY HEALTHCARE PROFESSIONALS WITHIN THE OPERATING ROOM SETTING. THE BEACH CHAIR WAS RECEIVED BY BAXTER. UPON INSPECTION, IT WAS DETERMINED THAT THE GAS SHOCK FAILED AND THE BACK BOARD WAS BROKE. BAXTER TECHNICIAN REPLACED THE SHOCK AND BACK BOARD. BEACH CHAIR NOW FUNCTIONS AS IT SHOULD. BASED ON THIS INFORMATION, NO FURTHER ACTIONS ARE REQUIRED AT THIS TIME. ALTHOUGH THERE WAS NO REPORTED INJURY WITH THIS EVENT, IF THE REPORT OF A BEACH CHAIR BACKBOARD BEING CRACKED WERE TO RECUR, IT COULD POTENTIALLY CAUSE SERIOUS INJURY OR DEATH. THEREFORE BAXTER IS REPORTING THIS EVENT.

Description of Event or Problem · 0

BAXTER RECEIVED A REPORT STATING THAT ALLEN LIFT ASSIST BEACH CHAIR BACKBOARD WERE CRACKED AND WAS RECLINING SLIGHTLY. THE BED WAS LOCATED AT THE ACCOUNT AND OCCURRED DURING PATIENT USE. THERE WAS NO PATIENT/USER INJURY, NO HARM OR SIGNIFICANT IMPACT TO THE SURGICAL PROCEDURE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1308938 ALLEN LIFT ASSIST BEACH CHAIR SUPPORT, PATIENT POSITION CCX BAXTER HEALTHCARE CORPORATION A-91501 N/A 00615521004125

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown