BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MOBILE TREAT. REC. LY5007

    MDR report key: 2835733 · Received October 12, 2012

    Report

    Report Number
    1831750-2012-10716
    Event Type
    Malfunction
    Date Received
    October 12, 2012
    Date of Event
    September 21, 2012
    Report Date
    September 21, 2012
    Manufacturer
    STRYKER MEDICAL
    Product Code
    FRJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE FRAME IS BROKEN ON SEAT WHERE BACKREST ATTACHES. THE CUSTOMER REPORTED THAT THEY DID NOT KNOW IF THERE WAS ANY PATIENT INVOLVEMENT OR IF THERE WERE ADVERSE CONSEQUENCES TO REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOBILE TREAT. REC. LY5007 RECLINER FRJ STRYKER MEDICAL 3300000020 NA

    Patients

    Seq Age Sex Outcome Treatment
    1