BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FERNO MODEL 40-OS CHAIR

    MDR report key: 2820430 · Received September 28, 2012

    Report

    Report Number
    1523574-2012-00029
    Event Type
    Malfunction
    Date Received
    September 28, 2012
    Date of Event
    August 23, 2012
    Report Date
    September 28, 2012
    Manufacturer
    FERNO-WASHINGTON, INC.
    Product Code
    FPO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    ¿CREW ATTEMPTED TO LIFT THE PATIENT IN THE CHAIR, THE RIGHT UPPER HANDLE BROKE OFF CAUSING THE CHAIR TO TIP TO THE RIGHT SIDE. PAIN IN THE RIGHT HIP WAS REPORTED BY THE PT.¿

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FERNO MODEL 40-OS CHAIR MODEL 40-OS FPO FERNO-WASHINGTON, INC. 40-OS

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Other