FDA Adverse Event
Other
Summary report: N
SKIL-CARE CORPORATION
MDR report key: 2782015
·
Received September 24, 2012
Report
- Report Number
- 2431497-2012-00001
- Event Type
- Other
- Date Received
- September 24, 2012
- Date of Event
- September 4, 2012
- Report Date
- September 24, 2012
- Manufacturer
- SKIL-CARE CORP.
- Product Code
- KNN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
NUMBER 704310 J-HOOK DROP-SEAT LOWERS THE WHEELCHAIR SEAT UP TO 4 INCHES, PERMITTING THE WHEELCHAIR USER TO REACH THE FOOTRESTS OR THE FLOOR. SEAT IS INSTALLED BY USER IN ACCORD WITH ENCLOSED INSTRUCTIONS. COMPLAINT STATES ¿THE SEAT FELL OUT AND THE PT FELL OUT¿. NO INDICATION IF THE PT WAS HURT. (B)(4).
Description of Event or Problem · 1
PROBLEM REPORTED BY DEALER (B)(4). WITH SKIL-CARE DROPSEAT BASE (ONLY) # 704310.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SKIL-CARE CORPORATION | DROP SEAT TO LOWER PATIENT IN WHEELCHAIR | KNN | SKIL-CARE CORP. | 704310 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |