MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-05-21 for CARDINAL ALLEGIANCE DELUXE 1508-1900 manufactured by Cardinal.
[19420917]
Pt had elevated toiler seat installed on toilet in bathroom. Pt stated the elevated toilet seat slipped off toilet causing pt to fall onto right knee.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5030315 |
| MDR Report Key | 3135368 |
| Date Received | 2013-05-21 |
| Date of Report | 2013-05-20 |
| Date of Event | 2013-05-11 |
| Date Added to Maude | 2013-05-30 |
| 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 | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | CARDINAL ALLEGIANCE DELUXE |
| Generic Name | ELEVATED TOILET SEAT, TOILET SEAT RISER |
| Product Code | INB |
| Date Received | 2013-05-21 |
| Catalog Number | 1508-1900 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | CARDINAL |
| Manufacturer Address | ROMULUS MI US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2013-05-21 |