MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1994-01-19 for MOBILAID WHEELCHAIRS 71-4348 N/A manufactured by Mobilaid Wheelchairs.
[5705]
Resident tried to get out of wheelchair hit left calve of leg on blot of footrest caused a laceration 5 in. Long 1/2 deep sent for treatment at hosptial e. R. Suters applied. Resident returned to facility & resumed normal activities.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 16647 |
| MDR Report Key | 16647 |
| Date Received | 1994-01-19 |
| Date of Report | 1993-10-11 |
| Date of Event | 1993-09-29 |
| Date Facility Aware | 1993-09-29 |
| Report Date | 1993-10-11 |
| Date Reported to FDA | 1993-10-13 |
| Date Added to Maude | 1994-10-07 |
| 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 | 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 | MOBILAID WHEELCHAIRS |
| Generic Name | WHEELCHAIR |
| Product Code | IMM |
| Date Received | 1994-01-19 |
| Model Number | 71-4348 |
| Catalog Number | N/A |
| Operator | LAY USER/PATIENT |
| Device Availability | Y |
| Device Age | 5 YR |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 16580 |
| Manufacturer | MOBILAID WHEELCHAIRS |
| Manufacturer Address | FLYRIA OH * US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization; 2. Other | 1994-01-19 |