BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COACHMAN II DENTAL CHAIR

    MDR report key: 699090 · Received April 7, 2006

    Report

    Report Number
    1017522-2006-00002
    Event Type
    Injury
    Date Received
    April 7, 2006
    Date of Event
    January 10, 2006
    Report Date
    April 7, 2006
    Manufacturer
    PELTON & CRANE
    Product Code
    NRU
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A MOTHER AND HER THREE CHILDREN WERE ALL IN A DENTAL OPERATORY AT THE SAME TIME WHILE THE OLDEST CHILD, WAS HAVING HIS TEETH CLEANED. WHEN THE DENTAL HYGIENIST WAS FINISHED CLEANING THE CHILD'S TEETH SHE HIT THE EXIT BUTTON TO POSITION THE CHAIR TO LET THE CHILD OUT, HOWEVER, SHE DID NOT REALIZE THAT THE YOUNGEST CHILD HAD CRAWLED UP UNDER THE CHAIR. THE CHAIR WENT DOWN ONTO THE CHILD'S HEAD AND FACE. THE CHILD STARTED TO SCREAM SO THE DENTAL HYGIENIST STOPPED THE CHAIR AND RAISED IT BACK UP. THE MOTHER GRABBED THE CHILD BY THE FEET AND PULLED THE CHILD OUT. THE CHILD RECEIVED SEVERE LACERATIONS TO THE FACIAL AREA AND SOME BLEEDING TO THE BACK OF HIS HEAD. THE CHILD WAS SENT IMMEDIATELY TO A HOSPITAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COACHMAN II DENTAL CHAIR DENTAL CHAIR NRU PELTON & CRANE L6 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 2 YR Hospitalization| L| R