BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WINCO

    MDR report key: 2310631 · Received October 13, 2011

    Report

    Report Number
    1027229-2011-00003
    Event Type
    Injury
    Date Received
    October 13, 2011
    Date of Event
    October 7, 2011
    Report Date
    October 11, 2011
    Manufacturer
    WINCO MFG, LLC
    Product Code
    FRJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    (B)(6) CONTACTED WINCO MFG ON (B)(6) 2011 TO REPORT AN INCIDENT INVOLVING A 6550 DROP ARM CARE CLINER. THE FACILITY REPORTED THAT A CARE GIVER WAS TRANSPORTING A PT TO A ROOM WHEN THE CARE GIVER WRENCHED THEIR BACK TRYING TO TURN THE CHAIR TO ENTER A ROOM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WINCO DROP ARM CARE CLINER FRJ WINCO MFG, LLC 6550

    Patients

    Seq Age Sex Outcome Treatment
    1 Other