MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-08-04 for INNOVATIVE PRODUCTS UNLIMITED SC-200-OS * manufactured by Innovative Products Unlimited.
[301312]
Resident was sitting on shower chair when the joints on right side came apart and the resident fell on the floor following collapse of the chair.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1029293 |
| MDR Report Key | 478172 |
| Date Received | 2003-08-12 |
| Date of Event | 2003-07-26 |
| Date Added to Maude | 2003-08-20 |
| 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 | INNOVATIVE PRODUCTS UNLIMITED |
| Generic Name | SHOWER CHAIR (OVERSIZE) |
| Product Code | IMR |
| Date Received | 2003-08-04 |
| Model Number | SC-200-OS |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | N |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 466980 |
| Manufacturer | INNOVATIVE PRODUCTS UNLIMITED |
| Manufacturer Address | 2121 INDUSTRIAL DRIVE NILES MI * US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2003-08-12 |