FDA Adverse Event
Malfunction
Summary report: N
TREATMENT RECLINER
MDR report key: 3051279
·
Received April 10, 2013
Report
- Report Number
- 0001831750-2013-03144
- Event Type
- Malfunction
- Date Received
- April 10, 2013
- Date of Event
- March 11, 2013
- Report Date
- March 11, 2013
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FRK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY REPAIR WORK ORDER THAT THE RECLINER WAS LEAKING FLUID FROM THE GAS CYLINDER. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCES OR CLINICALLY RELEVANT DELAYS IN TREATMENT WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 152270 | TREATMENT RECLINER | CHAIR, EXAMINATION AND TREATMENT | FRK | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |