FDA Adverse Event
Other
Summary report: N
CUSTOM COMFORT INC.
MDR report key: 918953
·
Received September 24, 2007
Report
- Report Number
- MW5003898
- Event Type
- Other
- Date Received
- September 24, 2007
- Manufacturer
- CUSTOM COMFORT
- Product Code
- INN
- Report Source
- Voluntary report
- Reporter Location
- CT, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
DURING PHLEBOTOMY, PATIENT BECAME UNCONSCIOUS AND SLID BACK INTO CHAIR. PATIENT NECK SLIPPED BETWEEN SIDE ARM AND BACK OF CHAIR. DIFFICULTY REMOVING HEAD FROM THIS LOCATION, BUT EVENTUALLY ABLE TO .
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CUSTOM COMFORT INC. | BLOOD DRAW CHAIR | INN | CUSTOM COMFORT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | YR | Other |