BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CLINICAL RECLINER BLUE RIDGE 9153641321

    MDR report key: 4332363 · Received December 16, 2014

    Report

    Report Number
    1531186-2014-06258
    Event Type
    Injury
    Date Received
    December 16, 2014
    Report Date
    October 23, 2014
    Manufacturer
    GOODBABY
    Product Code
    FRJ
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED BY A DEALER THAT A FACILITY CALLED STATING THAT AN IH6077A/IH61 IS BROKEN AND KEEPS LAYING FLAT ANYTIME ANYONE SITS IN THE UNIT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    824314 CLINICAL RECLINER BLUE RIDGE 9153641321 CHAIR AND TABLE, MEDICAL FRJ GOODBABY IH6077A/IH61

    Patients

    Seq Age Sex Outcome Treatment
    1 Other