ACTIVEAID 720

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-10-22 for ACTIVEAID 720 manufactured by Activeaid, Llc.

MAUDE Entry Details

Report Number2126684-2019-00002
MDR Report Key9221237
Report SourceHEALTH PROFESSIONAL
Date Received2019-10-22
Date of Report2019-09-24
Date of Event2019-09-23
Date Mfgr Received2019-09-24
Device Manufacturer Date2014-07-07
Date Added to Maude2019-10-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactMS AMY CURTIS
Manufacturer Street101 ACTIVEAID ROAD
Manufacturer CityREDWOOD FALLS MN 56283
Manufacturer CountryUS
Manufacturer Postal56283
Manufacturer Phone5076370812
Manufacturer G1ACTIVEAID, LLC
Manufacturer Street101 ACTIVEAID ROAD
Manufacturer CityREDWOOD FALLS MN 56283
Manufacturer CountryUS
Manufacturer Postal Code56283
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameACTIVEAID
Generic Name720 BARIATRIC REHAB SHOWER/COMMODE CHAIR
Product CodeINN
Date Received2019-10-22
Model Number720
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerACTIVEAID, LLC
Manufacturer Address101 ACTIVEAID ROAD REDWOOD FALLS MN 56283 US 56283


Patients

Patient NumberTreatmentOutcomeDate
10 2019-10-22

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