MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-31 for INNOVATION PRODUCTS UNLIMITED SHOWER CHAIR manufactured by Innovation Products Unlimited, Inc..
[135611802]
Resident was being transferred to shower chair and the shower chair broke into pieces.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5083633 |
| MDR Report Key | 8297165 |
| Date Received | 2019-01-31 |
| Date of Report | 2019-01-30 |
| Date of Event | 2019-01-25 |
| Date Added to Maude | 2019-02-01 |
| 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 |
| 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 | INNOVATION PRODUCTS UNLIMITED SHOWER CHAIR |
| Generic Name | CHAIR, ADJUSTABLE, MECHANICAL |
| Product Code | INN |
| Date Received | 2019-01-31 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | INNOVATION PRODUCTS UNLIMITED, INC. |
| Manufacturer Address | NILES MI 49120 US 49120 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2019-01-31 |