MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-04-13 for SMART SEAT UNK manufactured by Comfort Co..
[17767823]
Support pieces of drop seat cracked while resident was seated in wheelchair. Resortive dept nurses discovered upon re-assessment of drop seat appropriateness. No injury occurred. Drop seat removed.
Patient Sequence No: 1, Text Type: D, B5
Report Number | MW1018668 |
MDR Report Key | 273655 |
Date Received | 2000-04-13 |
Date of Report | 2000-04-04 |
Date of Event | 2000-03-01 |
Date Added to Maude | 2000-04-18 |
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 | SMART SEAT |
Generic Name | DROP SEAT FOR WHEELCHAIR |
Product Code | KNO |
Date Received | 2000-04-13 |
Model Number | UNK |
Catalog Number | UNK |
Lot Number | UNK |
ID Number | ITEM#00046-00 DIS DIRECT SUPPL |
Operator | LAY USER/PATIENT |
Device Availability | Y |
Implant Flag | N |
Date Removed | * |
Device Sequence No | 1 |
Device Event Key | 264901 |
Manufacturer | COMFORT CO. |
Manufacturer Address | 2025 SO. BLACK ST. BOZEMAN MT 59715 US |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2000-04-13 |