RIFTON ACTIVITY CHAIR R860

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2019-10-16 for RIFTON ACTIVITY CHAIR R860 manufactured by Rifton Equipment.

MAUDE Entry Details

Report Number1319558-2019-00009
MDR Report Key9195612
Report SourceUSER FACILITY
Date Received2019-10-16
Date of Report2019-10-16
Date of Event2019-09-11
Date Mfgr Received2019-09-19
Device Manufacturer Date2016-08-23
Date Added to Maude2019-10-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. TRAVIS SCOTT
Manufacturer Street103 WOODCREST DRIVE
Manufacturer CityRIFTON NY 12471
Manufacturer CountryUS
Manufacturer Postal12471
Manufacturer Phone8456587722
Manufacturer G1RIFTON EQUIPMENT
Manufacturer Street2255 PLATTE CLOVE RD.
Manufacturer CityELKA PARK NY 12427
Manufacturer CountryUS
Manufacturer Postal Code12427
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRIFTON ACTIVITY CHAIR
Generic NameACTIVITY CHAIR
Product CodeINN
Date Received2019-10-16
Model NumberR860
Catalog NumberR860
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerRIFTON EQUIPMENT
Manufacturer Address2255 PLATTE CLOVE RD. ELKA PARK NY 12427 US 12427


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-16

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