BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LUMEX DIALYSIS CHAIR

    MDR report key: 25850 · Received August 13, 1995

    Report

    Report Number
    2243621-1995-00646
    Event Type
    Injury
    Date Received
    August 13, 1995
    Date of Event
    May 19, 1995
    Report Date
    July 18, 1995
    Manufacturer
    LUMEX
    Product Code
    FKS
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    IL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FACILITY ALLEGED CHAIR FLIPPED BACKWARDS WHILE OCCUPIED. RN REPORTED CHAIR WAS IN TRENDELENBURG, PT MOVED AND CHAIR FLIPPED OVER BACKWARDS, CAUSING PT TO BUMP HEAD. NO FURTHER INJURY REPORTED; PT STABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LUMEX DIALYSIS CHAIR DIALYSIS CHAIR FKS LUMEX

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Required Intervention