FDA Adverse Event
Injury
Summary report: N
CONVAID PRODUCT, INC.
MDR report key: 23169438
·
Received September 29, 2025
Report
- Report Number
- 2022883-2024-00001
- Event Type
- Injury
- Date Received
- September 29, 2025
- Date of Event
- August 20, 2024
- Report Date
- September 26, 2025
- Manufacturer
- CONVAID PRODUCTS LLC
- Product Code
- IOR
- PMA / PMN Number
- K140416
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
AFTER RETROSPECTIVE REVIEW OF COMPLAINTS, THIS REPORT WILL BE FILED IN ABUNDANCE OF CAUTION BECAUSE RECORD WAS NOT FOUND ON MAUDE DATABASE.
Description of Event or Problem · 0
I HAVE A KIDDO USING THIS PARTICULAR TREKKER THAT GOT LAUNCHED OUT OF HER SEAT AND BROKE HER TIBIA. MOM CLAIMS THE TILTING MECHANISM ISN'T FUNCTIONING PROPERLY. PATIENT WAS A NINE-YEAR-OLD FEMALE, THE CUSTOMER REPORTED THE CHAIR WAS PROVIDED FROM A DEALER IN HOUSTON IN WHICH THEY INDICATED THAT THERE WERE SOME BROKEN PARTS ON THE CHAIR BUT THEY WERE ABLE TO REPLACE THE PIECES ON THE CHAIR AND IT WAS SAFE TO USE. AFTER TWO WEEKS OF USE THE PATIENT WAS CATAPULTED OUT OF THE CHAIR BREAKING HER LEFT LEG. IT WAS REPORTED THE TILT SUPPORT BAR AND SCREWS WERE MISSING FROM THE CHAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1943978 | CONVAID PRODUCT, INC. | TREKKER TRANSIT | IOR | CONVAID PRODUCTS LLC | TREKKER TRANSIT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 9 YR | Female | Other |