BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2082643-1999-01231

    MDR report key: 256972 · Received December 28, 1999

    Report

    Report Number
    2082643-1999-01231
    Event Type
    Malfunction
    Date Received
    December 28, 1999
    Date of Event
    November 29, 1999
    Report Date
    December 28, 1999
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RPTR CLAIMS X-TUBE BROKE AT THE CENTER BOLT HOLE WHILE CHAIR WAS IN USE. NO INJURY INVOLVED.

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other