BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    VARIOUS SR SCALES

    MDR report key: 7327173 · Received March 9, 2018

    Report

    Report Number
    7327173
    Event Type
    Malfunction
    Date Received
    March 9, 2018
    Date of Event
    December 8, 2016
    Report Date
    February 26, 2018
    Manufacturer
    SR INSTRUMENTS, INC.
    Product Code
    INF
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE PATIENT WAS ADVANCING HIS ELECTRIC WHEELCHAIR ONTO THE CHAIR SCALE ON THE FLOOR & ACCIDENTLY PUSHED THE JOYSTICK ON WHEELCHAIR, FORWARD. HIS WHEELCHAIR ROLLED OVER BACK EDGE OF SCALE & BECAME JAMMED ON EDGE OF SCALE. THE WHEELCHAIR DID NOT TIP OVER OR NOR WAS THERE ANY PATIENT HARM. MANUFACTURER RESPONSE FOR CHAIR SCALE, SR725L (PER SITE REPORTER).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    171597 VARIOUS SR SCALES SCALE, PLATFORM, WHEELCHAIR INF SR INSTRUMENTS, INC. SR725L

    Patients

    Seq Age Sex Outcome Treatment
    1 NO OTHER THERAPIES| YES, THE PATIENT WAS ADVANCING HIS ELECTRIC WHEELC