FDA Adverse Event
Injury
Summary report: N
PRIDE - SHUTTLE
MDR report key: 121421
·
Received September 22, 1997
Report
- Report Number
- MW1012122
- Event Type
- Injury
- Date Received
- September 22, 1997
- Date of Event
- September 21, 1997
- Report Date
- September 22, 1997
- Manufacturer
- PRIDE HEALTH CARE, INC.
- Product Code
- INI
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- KS, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE ELECTRIC SHUTTLE CAUSED INTERNAL INJURY TO THE PT, AND SECOND AND THIRD DEGREE BURNS. CPR WAS GIVEN TO THE PT UNTIL PARAMEDICS ARRIVED. FACILITY STATED, THIS PRODUCT HAS BEEN A PROBLEM FOR OVER A DECADES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PRIDE - SHUTTLE | ELECTRIC SHUTTLE | INI | PRIDE HEALTH CARE, INC. | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 YR | Hospitalization| L| O| R| S |