MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-09-24 for LUMEX RECLINER 565857 717076007054 manufactured by Lumex.
[16838737]
Castor breaks were engaged to bilateral wheels of recliner chair, however, when the pt went to sit down, the chair started moving due to malfunction of brakes. No injury to pt.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5017601 |
| MDR Report Key | 1848608 |
| Date Received | 2010-09-24 |
| Date of Report | 2010-09-24 |
| Date of Event | 2010-09-06 |
| Date Added to Maude | 2010-10-04 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LUMEX RECLINER |
| Generic Name | RECLINER |
| Product Code | FRJ |
| Date Received | 2010-09-24 |
| Model Number | 565857 |
| Catalog Number | 717076007054 |
| ID Number | 8050 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LUMEX |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2010-09-24 |