MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-08-03 for LIFESTYLE COMMODE B3500F manufactured by Lifestyle Mobility Aids.
[51473354]
Patient reported that the commode collapsed while she was using it which caused her hip to dislocate.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5063874 |
| MDR Report Key | 5852969 |
| Date Received | 2016-08-03 |
| Date of Report | 2016-08-03 |
| Date of Event | 2016-07-22 |
| Date Added to Maude | 2016-08-08 |
| 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 | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | LIFESTYLE COMMODE |
| Generic Name | LIFESTYLE COMMODE |
| Product Code | INB |
| Date Received | 2016-08-03 |
| Model Number | B3500F |
| Operator | LAY USER/PATIENT |
| Device Availability | N |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LIFESTYLE MOBILITY AIDS |
| Manufacturer Address | SEMINOLE FL 33775 US 33775 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2016-08-03 |