BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HEALTHLINE MEDICAL

    MDR report key: 4232316 · Received June 24, 2014

    Report

    Report Number
    3005878604-2014-00001
    Event Type
    Malfunction
    Date Received
    June 24, 2014
    Date of Event
    May 23, 2014
    Report Date
    May 30, 2014
    Manufacturer
    HEALTHLINE
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS IN CHAIR AND WHEN THEY TRIED TO MOVE PT FRONT LEG BROKE. AND PT FELL ON FLOOR. NO INJURY TO PT. REQUESTED PRODUCT TO BE RETURNED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    367542 HEALTHLINE MEDICAL NONE INM HEALTHLINE SC6014X

    Patients

    Seq Age Sex Outcome Treatment
    1