BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    EYE STRETCHER CHAIR

    MDR report key: 2903284 · Received January 9, 2013

    Report

    Report Number
    0001831750-2013-00011
    Event Type
    Malfunction
    Date Received
    January 9, 2013
    Date of Event
    December 17, 2012
    Report Date
    December 17, 2012
    Manufacturer
    STRYKER MEDICAL-KALAMAZOO
    Product Code
    FMR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THIS EMDR IS AN DUPLICATE COMPLAINT AS THE JACK DRIFT ISSUE WAS PREVIOUSLY INVESTIGATED AND REPORTED IN MDR 1831750-2013-90284 AND (B)(4). PLEASE SEE MDR 1831750-2013-90284 FOR ADDITIONAL DETAILS REGARDING THIS EVENT.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD END JACK WAS DRIFTING.

    Description of Event or Problem · 1

    IT WAS REPORTED BY SERVICE REPORT THAT THE HEAD END JACK WAS DRIFTING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    12574 EYE STRETCHER CHAIR DEVICE, TRANSFER, PATIENT, MANUAL FMR STRYKER MEDICAL-KALAMAZOO 5051

    Patients

    Seq Age Sex Outcome Treatment
    1