BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    3 POSITION RECLINER-BASIC BLUE RIDGE 9153641336

    MDR report key: 4339839 · Received December 18, 2014

    Report

    Report Number
    1531186-2014-06447
    Event Type
    Malfunction
    Date Received
    December 18, 2014
    Report Date
    November 25, 2014
    Manufacturer
    GOODBABY
    Product Code
    KMN
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THE IH6074A RECLINER ARRIVED WITH A BENT FRAME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    831261 3 POSITION RECLINER-BASIC BLUE RIDGE 9153641336 CHAIR AND TABLE, MEDICAL KMN GOODBABY IH6074A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other