BEUDAMED
    FDA Adverse Event Other Summary report: N

    LUMEX PREFERRED CARE RECLINER

    MDR report key: 37601 · Received September 6, 1996

    Report

    Report Number
    37601
    Event Type
    Other
    Date Received
    September 6, 1996
    Date of Event
    August 26, 1996
    Report Date
    September 5, 1996
    Manufacturer
    LUMEX
    Product Code
    FRJ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    OR, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RESIDENT PLACED IN CHAIR IN RECLINING POSITON. CHAIR WHICH WAS AT THE TIME IN THE UPRIGHT POSITON. APPARENT INJURY TO RESIDENT. SUPPORTIVE BRACE FOR POSITION LOCKING MECHANISM FOUND TO BE LOOSE/BROKEN THUS ALLOWING CHAIR TO BE SECURED IN RECLINING POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LUMEX PREFERRED CARE RECLINER GERI CHAIR (RECLINER) FRJ LUMEX 565 863 3013A *

    Patients

    Seq Age Sex Outcome Treatment
    1 89 YR Other