BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ART OF CARE RECLINER

    MDR report key: 2823777 · Received October 10, 2012

    Report

    Report Number
    1824206-2012-06334
    Event Type
    Malfunction
    Date Received
    October 10, 2012
    Date of Event
    September 20, 2012
    Report Date
    September 20, 2012
    Manufacturer
    HILL-ROM, INC.
    Product Code
    FRJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE TECH REPLACED THE BRAKE CASTER TO REPAIR THE CHAIR.

    Description of Event or Problem · 1

    INFO RECEIVED INDICATED THE BRAKE CASTER IS BROKEN AND WILL NOT HOLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ART OF CARE RECLINER CHAIR, ADJUSTABLE, MECHANICAL FRJ HILL-ROM, INC. 9080

    Patients

    Seq Age Sex Outcome Treatment
    1