SHOWER COMMODE CHAIR 520W

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-29 for SHOWER COMMODE CHAIR 520W manufactured by Care Products Inc..

Event Text Entries

[125362617] Reporter stated that 1 cna was giving the client a shower when a plastic from the chair cracked and chair fell apart. Client's foot got caught on the chair wheel and he incurred a fracture to his toe. The cna complains of back pain.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5080900
MDR Report Key8015849
Date Received2018-10-29
Date of Report2018-10-29
Date of Event2018-10-29
Date Added to Maude2018-10-29
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSHOWER COMMODE CHAIR
Generic NameCHAIR, WITH CASTERS
Product CodeINM
Date Received2018-10-29
Model Number520W
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerCARE PRODUCTS INC.


Patients

Patient NumberTreatmentOutcomeDate
10 2018-10-29

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