BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RECLINING DENTAL CHAIR

    MDR report key: 4352651 · Received December 12, 2014

    Report

    Report Number
    MW5039678
    Event Type
    Injury
    Date Received
    December 12, 2014
    Date of Event
    January 14, 2013
    Report Date
    December 12, 2014
    Product Code
    KLC
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NJ, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    SPINAL DISLOCATION CAUSED BY EXCESSIVE PROTRUDING NON-ADJUSTABLE PADDING OF FULLY RECLINED DENTAL CHAIR FOR THE ENTIRE DURATION OF TEETH-CLEANING APPOINTMENT. IN RECLINED POSITION, THE HUGE LUMBAR "SUPPORT" DISTORTED MY SPINE AND CAUSED JOINTS TO DISLOCATE. PAIN FROM DISLOCATED BACK JOINTS INCREASED DURING THE APPOINTMENT AND PERSISTED AFTERWARDS. ONE DAY LATER, USE OF AN INCLINED SIT-UP BOARD ENABLED THE BACK JOINTS TO SHIFT BACK INTO PROPER POSITION; THIS RESOLVED THE DISLOCATION AND PAIN CAUSED BY THE FIXED HUGE LUMBAR HUMP ON THE RECLINED DENTAL CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    807778 RECLINING DENTAL CHAIR RECLINING DENTAL CHAIR KLC

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR