BEUDAMED
    FDA Adverse Event Other Summary report: N

    SHOWER CHAIR

    MDR report key: 34163 · Received July 15, 1996

    Report

    Report Number
    MW1009493
    Event Type
    Other
    Date Received
    July 15, 1996
    Date of Event
    July 11, 1996
    Report Date
    July 11, 1996
    Manufacturer
    LUMEX, INC.
    Product Code
    KMN
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    WHILE SHOWERING A RESIDENT THE SEAT TO THE SHOWER CHAIR BECAME LOOSE AND FELL APART. RESIDENT SUSTAINED SKIN ABRASION TO LUMBAR AREA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SHOWER CHAIR SHOWER CHAIR KMN LUMEX, INC. 6910

    Patients

    Seq Age Sex Outcome Treatment
    1 79 YR Other