BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    2082643-1999-01225

    MDR report key: 257081 · Received December 29, 1999

    Report

    Report Number
    2082643-1999-01225
    Event Type
    Malfunction
    Date Received
    December 29, 1999
    Date of Event
    December 2, 1999
    Report Date
    December 23, 1999
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    RPTR CLAIMS FRAME BROKE AT THE UPPER REAR HOLE AREA WHILE CHAIR WAS IN USE. NO INJURIES INVOLVED.

    Patients

    Seq Age Sex Outcome Treatment
    1 12 YR Other