BEUDAMED
    FDA Adverse Event Injury Summary report: N

    3 POSITION RECLINER DLX-X WIDE BLUE RIDGE 9153641314

    MDR report key: 4371259 · Received December 30, 2014

    Report

    Report Number
    1531186-2014-07011
    Event Type
    Injury
    Date Received
    December 30, 2014
    Report Date
    October 30, 2014
    Manufacturer
    UNKNOWN
    Product Code
    KMN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    AL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT HAS BEEN REPORTED BY AN END USER THAT THE HAND PENDANT ON THE LIFTOUT CHAIR SHE HAS DOES NOT WORK, AND THAT THERE COULD BE A POSSIBLE SHORT IN THE HAND PENDANT. THE CHAIR SOMETIMES GETS STUCK IN THE UP POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    857345 3 POSITION RECLINER DLX-X WIDE BLUE RIDGE 9153641314 CHAIR AND TABLE, MEDICAL KMN UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other