BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHAIR, SHOWER ,WITH BACK,FLD, 300 LB

    MDR report key: 23017454 · Received September 10, 2025

    Report

    Report Number
    1417592-2025-00462
    Event Type
    Injury
    Date Received
    September 10, 2025
    Date of Event
    August 11, 2025
    Report Date
    September 10, 2025
    Manufacturer
    MEDLINE INDUSTRIES, LP
    Product Code
    ILS
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER
    Health Professional
    N

    Narratives

    Additional Manufacturer Narrative · 0

    CORRECTED G3: DATE RECIEVED BY MANUFCTURER TO 8/13/2025.

    Additional Manufacturer Narrative · 0

    ACCORDING TO THE CUSTOMER, ON (B)(6)2025, "THE CHAIR SPLIT IN HALF AND THE BACK PIECE CAME OFF. SHE FELL AND WAS ADMITTED IN THE HOSPITAL FROM THE FALL, CUSTOMER HURT HER BACK AND SHE IS PREGNANT." PER THE CUSTOMER, SHE "DID FOLLOW UP APPOINTMENTS FOR THE PAIN FOR A WEEK." NO ADDITIONAL INFORMATION AT THIS TIME. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO SERIOUS INJURY REQUIRING MEDICAL INTERVENTION, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

    Description of Event or Problem · 0

    ACCORDING TO THE CUSTOMER, ON (B)(6) 2025, "THE CHAIR SPLIT IN HALF AND THE BACK PIECE CAME OFF. SHE FELL AND WAS ADMITTED IN THE HOSPITAL FROM THE FALL, CUSTOMER HURT HER BACK AND SHE IS PREGNANT." PER THE CUSTOMER, SHE "DID FOLLOW UP APPOINTMENTS FOR THE PAIN FOR A WEEK."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2517845 CHAIR, SHOWER ,WITH BACK,FLD, 300 LB ILS MEDLINE INDUSTRIES, LP

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Female Other