BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TREATMENT RECLINER

    MDR report key: 2231502 · Received July 22, 2011

    Report

    Report Number
    1831750-2011-07504
    Event Type
    Malfunction
    Date Received
    July 22, 2011
    Date of Event
    June 23, 2011
    Report Date
    June 23, 2011
    Manufacturer
    GLOBAL
    Product Code
    FRK
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Additional Manufacturer Narrative · 1

    EVAL RESULT: RECLINER MECHANISM.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE RECLINER WAS GOING INTO TREND AUTOMATICALLY. NO PT INVOLVEMENT OR ADVERSE CONSEQUENCES ARE REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TREATMENT RECLINER EXAMINATION AND TREATMENT CHAIR FRK GLOBAL 3500000710 NA

    Patients

    Seq Age Sex Outcome Treatment
    1