BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STINGRAY

    MDR report key: 2833147 · Received November 13, 2012

    Report

    Report Number
    3001657382-2012-00021
    Event Type
    Injury
    Date Received
    November 13, 2012
    Date of Event
    September 17, 2012
    Report Date
    October 12, 2012
    Manufacturer
    R82 A/S
    Product Code
    INM
    Report Source
    Manufacturer report
    Reporter Location
    NL
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    THIS INFORMATION IS ALSO SENT TO THE NEDERLANDS MEDICAL AGENCY, WHERE THE INCIDENT TOOK PLACE.

    Description of Event or Problem · 1

    (B)(6) WAS TRANSPORTED BY A TAXI AND DURING THE TRANSFER FROM A TAXI TO THE STREET (BY A RAMP) AT SCHOOL, THE SEAT UNIT CAME LOOSE AND FELL FORWARD WITH THE CHILD IN IT. THE TAXI DRIVER WANTED TO CATCH THE CHILD, BUT (B)(6) FELL ON HER HEAD AND WENT TO THE HOSPITAL, WHERE SHE WAS CHECKED BY A DOCTOR. SHE WAS NOT SERIOUSLY HURT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STINGRAY STINGRAY INM R82 A/S

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization