MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1995-01-10 for BREEZY BY QUICKIE DESIGN, INC. BZ0207625 manufactured by Quickie Designs, Inc..
[12416]
3cm superficial skin tear to right lower leg, sustained when leg brushed up against wheelchair leg connection, upon transfer to chair from bed via lift.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 25473 |
| MDR Report Key | 25473 |
| Date Received | 1995-01-10 |
| Date of Report | 1994-10-12 |
| Date of Event | 1994-10-08 |
| Date Facility Aware | 1994-10-08 |
| Report Date | 1994-10-17 |
| Date Added to Maude | 1995-09-14 |
| 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 | BREEZY BY QUICKIE DESIGN, INC. |
| Generic Name | WHEELCHAIR |
| Product Code | KID |
| Date Received | 1995-01-10 |
| Model Number | BZ0207625 |
| Device Availability | Y |
| Device Age | * |
| Implant Flag | N |
| Date Removed | B |
| Device Sequence No | 1 |
| Device Event Key | 25971 |
| Manufacturer | QUICKIE DESIGNS, INC. |
| Manufacturer Address | ELYRIA OH 44035 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 1995-01-10 |