D
Patient 1
THE LETTER FROM AN ATTORNEY ALLEGES THE CONSUMER'S LEGS FLIPPED OFF THE CHAIR AND HIT A BOLT, CAUSING A HEMATOMA THAT REQUIRED SURGERY.
MAUDE MDR 703857
- MDR report key
- 703857
- Report number
- 1834066-2006-00001
- Event key
- 0
- Event type
- 3
- Date of event
- 2006-01-17
- Date received
- 2006-04-24
- Adverse event
- 3
- Product problem
- 3
- Patients in event
- 0
- Reporter occupation
- 0
- Health professional
- 3
- Initial report to FDA
- 3
- Event location
- 0
Manufacturer Contact#
- Contact
- RON CLINES
- Address
- ONE INVACARE WAY ELYRIA OH 44036 US
- Phone
- 440-440-4403
- Report source
- M
- Manufacturer link flag
- Y
Devices#
| Seq | Brand | Generic | Manufacturer | Product code | Model | Catalog | Lot | PMA | 510(k) | Implant | Evaluated | Availability |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | CHAMPION MFG | 880.6140 | CHAMPION MFG. INC. | FIA | 54 SERIES | 54 SERIES | NA | N | R | N |
Patients#
| Sequence | Received | Treatment | Outcome |
|---|---|---|---|
| 1 | 2006-04-24 | 0 | 1. R |