FDA Adverse Event Injury Summary report: N

SENTRA WHEELCHAIR

MDR report key: 3127033 · Received July 5, 2006

Report

Report Number
2438477-2006-00001
Event Type
Injury
Date Received
July 5, 2006
Date of Event
June 16, 2006
Report Date
June 27, 2006
Manufacturer
MEDICAL DEPOT, INC (D/B/A DRIVE MEDICAL DESIGN & MFG)
Product Code
IOR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT PLACED IN WHEELCHAIR AND WHEN SEAT WAS COMPLETELY OPENED THE PT'S FINGER WAS CAUGHT BETWEEN SEAT AND CHAIR RESULTING IN A RIGHT LONG FINGER DISTAL PHALANX AMPUTATION SECONDARY TO A SIGNIFICANT BONE CRUSH INJURY. NO OTHER COMPLAINTS REPORTED. NO REPORT OF MALFUNCTION. THIS APPEARS TO BE MISUSE, AS PT PLACED HAND IN MECHANISM BEFORE CHAIR FULLY OPEN. TO THE BEST OF OUR KNOWLEDGE THERE WAS NO MALFUNCTION. DUE TO (B)(4) REGULATIONS WE COULD NOT SPEAK WITH PT OR F/U WITH FURTHER INVESTIGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SENTRA WHEELCHAIR WHEELCHAIR IOR MEDICAL DEPOT, INC (D/B/A DRIVE MEDICAL DESIGN & MFG) STD26DDA UNAVAILABLE

Patients

Seq Age Sex Outcome Treatment
1 85 YR Disability