FDA Adverse Event
Malfunction
Summary report: N
2082643-1999-01227
MDR report key: 257094
·
Received December 29, 1999
Report
- Report Number
- 2082643-1999-01227
- Event Type
- Malfunction
- Date Received
- December 29, 1999
- Date of Event
- December 6, 1999
- Report Date
- December 23, 1999
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- SERVICE PERSONNEL
Narratives
Description of Event or Problem · 1
RPTR CLAIMS X-TUBE BROKE AT BOLT HOLE AREA WHILE CHAIR WAS IN USE. NO INJURIES WERE INVOLVED.
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR | Other |