MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-07-09 for MODEL 720 BARIATRIC SHOWER COMMODE WHEEL CHAIR manufactured by Activeaid, Llc.
| Report Number | MW5087988 |
| MDR Report Key | 8776920 |
| Date Received | 2019-07-09 |
| Date of Report | 2019-07-08 |
| Date of Event | 2019-06-24 |
| Date Added to Maude | 2019-07-10 |
| 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 | MODEL 720 BARIATRIC SHOWER COMMODE WHEEL CHAIR |
| Generic Name | CHAIR, ADJUSTABLE, MECHANICAL |
| Product Code | INN |
| Date Received | 2019-07-09 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ACTIVEAID, LLC |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2019-07-09 |