BEUDAMED
    FDA Adverse Event Injury Summary report: N

    E&J FOLDING REHAB SHOWER COMMODE CHAIR

    MDR report key: 2483287 · Received March 4, 2012

    Report

    Report Number
    MW5024535
    Event Type
    Injury
    Date Received
    March 4, 2012
    Date of Event
    February 23, 2012
    Report Date
    March 4, 2012
    Manufacturer
    GF HEALTH PRODUCTS, INC.
    Product Code
    INB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    SEAT OF EVEREST AND JENNINGS FOLDING REHAB SHOWER COMMODE CHAIR BROKE AFTER LESS THAN ONE MONTH OF USE. SEAT REMOVED FROM SERVICE. REPLACEMENT PART ON BACK ORDER UNTIL APRIL. DATES OF USE: (B)(6) 2012. REASON FOR USE: QUADRIPLEGIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 E&J FOLDING REHAB SHOWER COMMODE CHAIR RSC 17 1/2" HIBACK INB GF HEALTH PRODUCTS, INC. 12022110

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Disability