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