UNKNOWN_MEDICAL_PRODUCT UNK_MED

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2017-07-12 for UNKNOWN_MEDICAL_PRODUCT UNK_MED manufactured by Stryker Medical-kalamazoo.

Event Text Entries

[79885292] It was reported that the footrest of the recliner opened too forcefully, hitting a nurse in the shin and causing her to fall over. It was further reported that details of her injuries and any possible medical intervention related to this incident were unknown. No patient involvement and no adverse consequence or clinically relevant delay in treatment for a patient was reported, and no further information regarding the alleged incident were given at this time.
Patient Sequence No: 1, Text Type: D, B5


[91128321] It was alleged that a nurse had been down on her hands and knees when she pulled the recliner lever and the footrest hit her in the chin. It was not reported if the nurse recieved medical treatment following the event. This issue was resolved for the customer by following up with the customer to ensure that no further assistance was needed. Unit was not identified for evaluation.
Patient Sequence No: 1, Text Type: N, H10


[91128322] It was reported that the footrest of the recliner opened too forcefully, hitting a nurse in the shin and causing her to fall over. It was further reported that details of her injuries and any possible medical intervention related to this incident were unknown. No patient involvement and no adverse consequence or clinically relevant delay in treatment for a patient was reported, and no further information regarding the alleged incident were given at this time.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001831750-2017-00294
MDR Report Key6708615
Report SourceUSER FACILITY
Date Received2017-07-12
Date of Report2017-10-06
Date of Event2017-06-13
Date Mfgr Received2017-06-13
Date Added to Maude2017-07-12
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. CHANDA BURGHARD
Manufacturer Street3800 EAST CENTRE AVENUE
Manufacturer CityPORTAGE MI 49002
Manufacturer CountryUS
Manufacturer Postal49002
Manufacturer Phone2693292100
Manufacturer G1STRYKER MEDICAL-KALAMAZOO
Manufacturer Street3800 EAST CENTRE AVENUE
Manufacturer CityPORTAGE MI 49002
Manufacturer CountryUS
Manufacturer Postal Code49002
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN_MEDICAL_PRODUCT
Generic NameCHAIR, EXAMINATION AND TREATMENT
Product CodeFRK
Date Received2017-07-12
Catalog NumberUNK_MED
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER MEDICAL-KALAMAZOO
Manufacturer Address3800 EAST CENTRE AVENUE PORTAGE MI 49002 US 49002


Patients

Patient NumberTreatmentOutcomeDate
10 2017-07-12

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