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