FDA Adverse Event Other Summary report: N

PRIDE

MDR report key: 195367 · Received October 30, 1998

Report

Report Number
2530130-1998-00031
Event Type
Other
Date Received
October 30, 1998
Date of Event
November 1, 1996
Manufacturer
PRIDE HEALTHCARE, INC
Product Code
INI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SD, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

PT WAS SEATED ON THE SCOOTER WHILE BEING TRANSPORTED ON A SHUTTLE BUS WHEN A VEHICLE CAME INTO THE SHUTTLE'S PATH AND CAUSED AN ACCIDENT. THE SCOOTER WAS ALLEGEDLY STRAPPED SECURELY TO THE FLOOR OF THE BUS. PT FELL OUT OF HER SCOOTER AND BROKE HER ANKLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PRIDE SCOOTER INI PRIDE HEALTHCARE, INC SC202 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other