MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign report with the FDA on 2020-03-24 for POWERED WHEELCHAIR SYSTEM 50T-MAXX manufactured by Motion Concepts Lp.
| Report Number | 9615350-2020-00003 |
| MDR Report Key | 9873964 |
| Report Source | FOREIGN |
| Date Received | 2020-03-24 |
| Date of Report | 2020-03-24 |
| Date of Event | 2018-06-17 |
| Device Manufacturer Date | 2016-03-31 |
| Date Added to Maude | 2020-03-24 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| 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 |
| Manufacturer Contact | MS. DONA BHAMRA |
| Manufacturer Street | 84 CITATION DRIVE UNIT 1-12 |
| Manufacturer City | CONCORD, ONTARIO L4K 3C1 |
| Manufacturer Country | CA |
| Manufacturer Postal | L4K 3C1 |
| Manufacturer G1 | MOTION CONCEPTS LP |
| Manufacturer Street | 84 CITATION DRIVE UNIT 1-12 |
| Manufacturer City | CONCORD, ONTARIO L4K 3C1 |
| Manufacturer Country | CA |
| Manufacturer Postal Code | L4K 3C1 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | POWERED WHEELCHAIR SYSTEM |
| Generic Name | WHEELCHAIR |
| Product Code | ITI |
| Date Received | 2020-03-24 |
| Model Number | 50T-MAXX |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | MOTION CONCEPTS LP |
| Manufacturer Address | 84 CITATION DRIVE UNIT 1-12 CONCORD, ONTARIO L4K 3C1, CA L4K 3C1, |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other; 2. Deathisabilit | 2020-03-24 |