BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WINCO

    MDR report key: 2572772 · Received May 3, 2012

    Report

    Report Number
    1027229-2012-00001
    Event Type
    Injury
    Date Received
    May 3, 2012
    Date of Event
    April 10, 2012
    Report Date
    May 3, 2012
    Manufacturer
    WINCO MFG
    Product Code
    FRJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ND, US
    Reporter Occupation
    NURSE

    Narratives

    Additional Manufacturer Narrative · 1

    THE CHAIR WAS NOT REMOVED FROM SERVICE.

    Description of Event or Problem · 1

    WINCO MFG CUSTOMER CARE TECHNICAL SPECIALIST WAS PARTICIPATING IN A CONFERENCE CALL WITH (B)(6), ON THE AFTERNOON OF (B)(6) 2012 WHEN, A REP FROM (B)(6) MENTIONED A PT BEING INJURED IN 6551 DROP ARM CHAIR. (B)(6) REP STATED THAT THE PT CUT THEIR FINGER WHILE TRYING TO GET OUT OF THE CHAIR. WINCO MFG ATTEMPTED TO MAKE FURTHER DIRECT CONTACT WITH (B)(6) ON (B)(6). WINCO WAS ABLE TO SPEAK WITH (B)(6), ON (B)(6) AT 3PM. THE NURSING MGR CONFIRMED THAT ON (B)(6) 2012, AN (B)(6) MALE PT WEIGHING (B)(6), WAS ATTEMPTING TO GET OUT OF A 6551 DROP ARM CHAIR WHEN THE LEFT ARM OF THE CHAIR DROPPED, PINCHING HIS LEFT MIDDLE FINGER AND CAUSING A CUT THAT REQUIRED TWO STITCHES. FLOOR MGR AND MAINTENANCE PERSONNEL INSPECTED THE CHAIR AND MADE SEVERAL ATTEMPTS TO FORCE THE ARM TO DROP. NO DEFECT OR DAMAGE WAS FOUND WITH THE CHAIR. THE SERIAL NUMBER WAS NOT RECORDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WINCO 6551 DROP ARM CARECLINER FRJ WINCO MFG 6551

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Other