MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-05-05 for POSITION RECLINER 99-0012-7 manufactured by Lumex.
[21381222]
Facility alleges employee got hurt while attempting to lift head of chair with pt that had tipped backwards. Pt complaining of lower back and right shoulder pain.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2243621-1995-00437 |
MDR Report Key | 22288 |
Date Received | 1995-05-05 |
Date of Report | 1995-05-01 |
Date of Event | 1995-04-15 |
Date Facility Aware | 1995-04-25 |
Report Date | 1995-05-01 |
Date Reported to FDA | 1995-05-01 |
Date Reported to Mfgr | 1995-05-01 |
Date Added to Maude | 1995-06-08 |
Event Key | 0 |
Report Source Code | Distributor report |
Manufacturer Link | N |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 0 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 0 |
Previous Use Code | 0 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | POSITION RECLINER |
Generic Name | POSITION RECLINER |
Product Code | FIA |
Date Received | 1995-05-05 |
Catalog Number | 99-0012-7 |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Age | * |
Implant Flag | N |
Date Removed | B |
Device Sequence No | 1 |
Device Event Key | 22405 |
Manufacturer | LUMEX |
Manufacturer Address | BAYSHORE NY 11706 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Other | 1995-05-05 |