MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1999-11-04 for RICON S20005-ADA * manufactured by Ricon Corp..
[194537]
Pt in wheel chair was placed on wheelchair lift. As lift was being lowered from the bus the cable broke and wheelchair fell off onto the ground. The lift was a few inches from the ground and an attendant was holding onto the wheelchair. There was no apparent injury to the pt.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1017476 |
| MDR Report Key | 248845 |
| Date Received | 1999-11-04 |
| Date of Report | 1999-10-29 |
| Date of Event | 1999-10-14 |
| Date Added to Maude | 1999-11-10 |
| 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 |
| Reporter Occupation | RISK MANAGER |
| 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 | RICON |
| Generic Name | WHEELCHAIR LIFT |
| Product Code | ING |
| Date Received | 1999-11-04 |
| Model Number | S20005-ADA |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 241075 |
| Manufacturer | RICON CORP. |
| Manufacturer Address | 1245 MONTAGUE ST. PACOIMA CA 91331 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1999-11-04 |