BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MALIBU/SOVEREIGN (INCL. DIGNITY)

    MDR report key: 3221051 · Received July 5, 2013

    Report

    Report Number
    1419652-2013-00188
    Event Type
    Malfunction
    Date Received
    July 5, 2013
    Date of Event
    June 28, 2013
    Report Date
    June 28, 2013
    Manufacturer
    ARJO HOSPITAL EQUIPMENT AB
    Product Code
    ILM
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO ARJOHUNTLEIGH THAT THE RESIDENT WAS CUT WHEN THE BATH CHAIR SEAT BECAME DISLODGED. REF MFR REPORT 9611530-2013-00080.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    307398 MALIBU/SOVEREIGN (INCL. DIGNITY) * ILM ARJO HOSPITAL EQUIPMENT AB AZR33116-GB *

    Patients

    Seq Age Sex Outcome Treatment
    1 *