MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-01-06 for CAM LOK 15683 manufactured by The Braun Corp..
[8801]
Wheelchair tied down (in van) came out of metal lock and strap was released from clip. Wheelchair tipped with resident sustaining an injury to right side.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1000312 |
| MDR Report Key | 10841 |
| Date Received | 1994-01-06 |
| Date of Report | 1993-08-05 |
| Date of Event | 1993-08-02 |
| Date Added to Maude | 1994-01-10 |
| 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 | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CAM LOK |
| Product Code | ING |
| Date Received | 1994-01-06 |
| Model Number | 15683 |
| Device Availability | * |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 10841 |
| Manufacturer | THE BRAUN CORP. |
| Manufacturer Address | WINAMAC IN 46996 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1994-01-06 |