BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    LA-Z-BOY

    MDR report key: 5892915 · Received August 18, 2016

    Report

    Report Number
    MW5064203
    Event Type
    Malfunction
    Date Received
    August 18, 2016
    Date of Event
    July 10, 2016
    Report Date
    August 2, 2016
    Manufacturer
    LA-Z-BOY
    Product Code
    INN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CO, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    WHILE THE FOOT REST WAS EXTENDED, THE PT'S RIGHT FOOT SLIPPED UNDERNEATH THE METAL HAS BETWEEN THE CHAIR SEAT AND FOOT REST PAD ON THE RECLINER CHAIR AND BECAME STUCK. THE NURSE TRIED TO REMOVE THE FOOT USING LOTION TO LUBRICATE THE AREA BUT WAS UNSUCCESSFUL. PT WAS MEDICATED FOR PAIN. FIRE DEPARTMENT/EMS PERSONNEL RESPONDED. THEY PARTIALLY CUT THROUGH THE METAL FRAME AND WERE ABLE TO RELEASE THE FOOT. NO IMMEDIATE SKIN ABNORMALITIES NOTED. PT RECEIVED AN X-RAY, WHICH CAME BACK NEGATIVE. THE FOOT WAS NOTED TO BE SMALLER THAN AVERAGE. (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    536962 LA-Z-BOY BARIATRIC RECLINER CHAIR INN LA-Z-BOY HARMONY 696005

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR