FDA Adverse Event
Malfunction
Summary report: N
TREATMENT RECLINER
MDR report key: 3802553
·
Received May 9, 2014
Report
- Report Number
- 0001831750-2014-02970
- Event Type
- Malfunction
- Date Received
- May 9, 2014
- Date of Event
- April 15, 2014
- Report Date
- April 15, 2014
- Manufacturer
- STRYKER MEDICAL-KALAMAZOO
- Product Code
- FRK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED VIA REPAIR WORK ORDER THAT THE CASTER WAS NOT SECURE DUE TO DAMAGED SIDE OF RECLINER. NO PATIENT WAS AFFECTED AND NO ADVERSE CONSEQUENCE OR CLINICALLY RELEVANT DELAY IN TREATMENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 281657 | TREATMENT RECLINER | CHAIR, EXAMINATION AND TREATMENT | FRK | STRYKER MEDICAL-KALAMAZOO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |