MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-03-09 for VARIOUS SR SCALES SR725L SR725I-L manufactured by Sr Instruments, Inc..
[101995434]
Patient Sequence No: 1, Text Type: N, H10
[101995435]
The patient was advancing his electric wheelchair onto the chair scale on the floor & accidently pushed the joystick on wheelchair, forward. His wheelchair rolled over back edge of scale & became jammed on edge of scale. The wheelchair did not tip over or nor was there any patient harm. Manufacturer response for chair scale, sr725l (per site reporter).
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 7327173 |
| MDR Report Key | 7327173 |
| Date Received | 2018-03-09 |
| Date of Report | 2018-02-26 |
| Date of Event | 2016-12-08 |
| Report Date | 2018-01-10 |
| Date Reported to FDA | 2018-01-10 |
| Date Reported to Mfgr | 2018-01-10 |
| Date Added to Maude | 2018-03-09 |
| 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 | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | VARIOUS SR SCALES |
| Generic Name | SCALE, PLATFORM, WHEELCHAIR |
| Product Code | INF |
| Date Received | 2018-03-09 |
| Model Number | SR725L |
| Catalog Number | SR725I-L |
| ID Number | 2443 |
| Operator | LAY USER/PATIENT |
| Device Availability | Y |
| Device Age | 15 YR |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SR INSTRUMENTS, INC. |
| Manufacturer Address | 600 YOUNG ST. TONAWANDA NY 14150 US 14150 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-03-09 |