QUICKIE TILT IN SPACE MANUAL WHEELCHAIR SR-45

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-12 for QUICKIE TILT IN SPACE MANUAL WHEELCHAIR SR-45 manufactured by Sunrise Medical (us) Llc.

MAUDE Entry Details

Report NumberMW5091048
MDR Report Key9317449
Date Received2019-11-12
Date of Report2019-11-08
Date of Event2019-11-08
Date Added to Maude2019-11-13
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
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
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameQUICKIE TILT IN SPACE MANUAL WHEELCHAIR
Generic NameWHEELCHAIR, MECHANICAL
Product CodeIOR
Date Received2019-11-12
Model NumberSR-45
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSUNRISE MEDICAL (US) LLC


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-11-12

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