MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-24 for UNKNOWN manufactured by Unknown.
[70789981]
Patient Sequence No: 1, Text Type: N, H10
[70789982]
The pt attempted to sit in the recliner but sat on the leg rest, causing pt to fall. No external injuries were noted. The pt denies pain. Their doctor was made aware, we will continue to monitor. Cannot get any manufacture info off of the chair. Patient simply sat on the foot rest instead of into the chair seat and fell/slid off. No injuries occurred. All physicians were notified at time of incident. A post fall huddle was performed at the patient's bedside following the incident.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 6431596 |
| MDR Report Key | 6431596 |
| Date Received | 2017-03-24 |
| Date of Report | 2017-03-08 |
| Date of Event | 2016-10-31 |
| Report Date | 2017-03-08 |
| Date Reported to FDA | 2017-03-08 |
| Date Reported to Mfgr | 2017-03-08 |
| Date Added to Maude | 2017-03-24 |
| Event Key | 0 |
| Report Source Code | User Facility 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 | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | UNKNOWN |
| Generic Name | CHAIR, EXAMINATION AND TREATMENT |
| Product Code | FRK |
| Date Received | 2017-03-24 |
| Device Availability | * |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | UNKNOWN |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2017-03-24 |