LUMEX CLINICAL CARE RECLINER 577 5776863 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2009-07-24 for LUMEX CLINICAL CARE RECLINER 577 5776863 * manufactured by Graham-field.

Event Text Entries

[1272232] Patient raked leg across metal tabs which hold side panels in place.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1425183
MDR Report Key1425183
Date Received2009-07-24
Date of Report2009-07-24
Date of Event2009-07-18
Report Date2009-07-24
Date Reported to FDA2009-07-24
Date Added to Maude2009-08-03
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLUMEX CLINICAL CARE RECLINER 577
Generic NameGERIATRIC CHAIR
Product CodeFRJ
Date Received2009-07-24
Model Number5776863
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerGRAHAM-FIELD
Manufacturer Address2935 NORTHEAST PARKWAY ATLANTA GA 30360 US 30360


Patients

Patient NumberTreatmentOutcomeDate
10 2009-07-24

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