SMART SEAT UNK

MAUDE Adverse Event Report

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..

Event Text Entries

[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


MAUDE Entry Details

Report NumberMW1018668
MDR Report Key273655
Date Received2000-04-13
Date of Report2000-04-04
Date of Event2000-03-01
Date Added to Maude2000-04-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSMART SEAT
Generic NameDROP SEAT FOR WHEELCHAIR
Product CodeKNO
Date Received2000-04-13
Model NumberUNK
Catalog NumberUNK
Lot NumberUNK
ID NumberITEM#00046-00 DIS DIRECT SUPPL
OperatorLAY USER/PATIENT
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key264901
ManufacturerCOMFORT CO.
Manufacturer Address2025 SO. BLACK ST. BOZEMAN MT 59715 US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2000-04-13

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