BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BREEZY 2 WHEELCHAIR

    MDR report key: 179279 · Received July 29, 1998

    Report

    Report Number
    2082643-1998-00972
    Event Type
    Injury
    Date Received
    July 29, 1998
    Date of Event
    July 8, 1998
    Report Date
    July 29, 1998
    Manufacturer
    SUNRISE MEDICAL MPD
    Product Code
    IOR
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    OPERATOR WAS ON A BUS, WHILE SITTING IN THE WHEELCHAIR, THE X-TUBE BROKE CAUSING OPERATOR TO FALL. CHAIR WAS SECURED WITH A TIE-DOWN SYSTEM. OPERATOR HAD A SEIZURE AND WAS IN THE HOSP FOR OBSERVATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BREEZY 2 WHEELCHAIR WHEELCHAIR, MECHANICAL IOR SUNRISE MEDICAL MPD NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization