BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2082643-1999-01228

    MDR report key: 257073 · Received December 29, 1999

    Report

    Report Number
    2082643-1999-01228
    Event Type
    Malfunction
    Date Received
    December 29, 1999
    Date of Event
    December 7, 1999
    Report Date
    December 23, 1999
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    RPTR CLAIMS FRAME BROKE AT HOLE AREA WHILE CHAIR WAS IN USE. NO INJRIES INVOLVED.

    Patients

    Seq Age Sex Outcome Treatment
    1 15 YR Other