BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRIDE

    MDR report key: 199415 · Received November 24, 1998

    Report

    Report Number
    2530130-1998-00041
    Event Type
    Other
    Date Received
    November 24, 1998
    Date of Event
    January 1, 1998
    Report Date
    November 24, 1998
    Manufacturer
    PRIDE HEALTH CARE, INC.
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    USER ALLEGES TIRE FELL OFF HIS POWER CHAIR RESULTING IN A MINOR INJURY TO HIS TOE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRIDE POWER WHEELCHAIR ITI PRIDE HEALTH CARE, INC. 1100 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other