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 |