NALA HARMONIC TILT PATIENT CHAIR CR433.WP1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-07-27 for NALA HARMONIC TILT PATIENT CHAIR CR433.WP1 manufactured by Herman Miller For Healthcare.

Event Text Entries

[2781292] Neurosurgical intensive care pt sustained a left eye laceration as a result of falling from a nala harmonic tilt pt chair. Fall was unwitnessed so unclear what pt was doing immediately prior to fall.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5026327
MDR Report Key2679003
Date Received2012-07-27
Date of Report2012-07-27
Date of Event2012-07-11
Date Added to Maude2012-08-03
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNALA HARMONIC TILT PATIENT CHAIR
Generic NameNALA HARMONIC TILT PATIENT CHAIR
Product CodeFRJ
Date Received2012-07-27
Model NumberCR433.WP1
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerHERMAN MILLER FOR HEALTHCARE
Manufacturer Address3295 RIVER EXCHANGE DR. SUITE 405 NORCROSS GA 30092 US 30092


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2012-07-27

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