QUICKIE 2 EIQ2X

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-10-24 for QUICKIE 2 EIQ2X manufactured by Sunrise Medical Privada Misiones.

MAUDE Entry Details

Report Number9616084-2019-00011
MDR Report Key9235828
Date Received2019-10-24
Date of Report2019-10-15
Date of Event2019-10-15
Date Mfgr Received2019-10-15
Device Manufacturer Date2018-04-09
Date Added to Maude2019-10-24
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 ContactMR. GUSTAVO ZAMBRANO
Manufacturer Street2842 BUSINESS PARK AVE.
Manufacturer CityFRESNO CA 93727
Manufacturer CountryUS
Manufacturer Postal93727
Manufacturer Phone5592942840
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameQUICKIE 2
Generic NameMANUAL WHEELCHAIR
Product CodeIOR
Date Received2019-10-24
Model NumberEIQ2X
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSUNRISE MEDICAL PRIVADA MISIONES
Manufacturer AddressNO. 110 PRIVADA INDUSTRIAL MISIONES DE LAS CALIFORNIAS TIJUANA, BAJA CALIFORNIA 22425 MX 22425


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2019-10-24

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.