FDA Adverse Event Other Summary report: N

ALENTI

MDR report key: 3111204 · Received April 19, 2013

Report

Report Number
1419652-2013-00102
Event Type
Other
Date Received
April 19, 2013
Date of Event
March 21, 2013
Report Date
March 21, 2013
Manufacturer
ARJO HOSPITAL EQUIPMENT AB
Product Code
ILS
Product Problem
Yes
Report Source
Distributor report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS INITIALLY REPORTED: 'CAREGIVER HAD JUST RAISED THE ALENTI CHAIR UP AND TURNED CHAIR TO BRING TO BATH TUB. AND SHE HEARD SNAP AND FELT THE CHAIR GIVE OUT. CAREGIVER STABILIZED SO NO ONE TIPPED OVER OR GOT HURT." MFR REF #9611530-2013-00037.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
170195 ALENTI HYGIENE AND POOL LIFFTERS ILS ARJO HOSPITAL EQUIPMENT AB CDB8053-01 *

Patients

Seq Age Sex Outcome Treatment
1 * Other