FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 2902475 · Received January 8, 2013

Report

Report Number
1531186-2013-00113
Date Received
January 8, 2013
Report Date
January 8, 2013
Manufacturer
GOODBABY
Product Code
INM
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). INJURY ALLEGED. MALFUNCTION ALLEGED. CUSTOMER SAYS THAT THREE RESIDENTS HAD THEIR LEG CUT. THE RESIDENTS LEG HAD FALLEN BETWEEN THE CUSHION AND THE SIDE PANEL AND A PIN STICKING OUT OF THE RELEASE LEVER CUT THEIR LEG. CUSTOMER WAS UNSURE OF THE EXACT CHAIRS THAT WERE INVOLVED IN THIS INCIDENT. NO MEDICAL ATTENTION WAS SOUGHT. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
9432 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM GOODBABY IH6074A/IH60

Patients

Seq Age Sex Outcome Treatment
1 Other