MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2006-03-31 for STRETCHAIR PATIENT TRANSFER SYSTEMS, INC. MC675LLTP UNK manufactured by Stretchair Patient Transfer Systems, Inc..
[469514]
Pt moved himself up in chair with assist from nursing staff. Later he stated he leaned forward and the buckle on the seatbelt came loose and he fell forward out of chair.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 695397 |
| MDR Report Key | 695397 |
| Date Received | 2006-03-31 |
| Date of Report | 2006-03-28 |
| Date of Event | 2006-03-17 |
| Date Facility Aware | 2006-03-17 |
| Report Date | 2006-03-31 |
| Date Reported to FDA | 2006-03-31 |
| Date Reported to Mfgr | 2006-03-31 |
| Date Added to Maude | 2006-04-06 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | STRETCHAIR PATIENT TRANSFER SYSTEMS, INC. |
| Generic Name | STRETCHAIR |
| Product Code | IQC |
| Date Received | 2006-03-31 |
| Model Number | MC675LLTP |
| Catalog Number | UNK |
| Lot Number | UNK |
| ID Number | UNK |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | UNKNOWN |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 684526 |
| Manufacturer | STRETCHAIR PATIENT TRANSFER SYSTEMS, INC. |
| Manufacturer Address | 8110 ULMERTON ROAD LARGO FL 33771 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2006-03-31 |