BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BOUNDER

    MDR report key: 337591 · Received June 14, 2001

    Report

    Report Number
    2027797-2001-00001
    Event Type
    Injury
    Date Received
    June 14, 2001
    Date of Event
    May 22, 2001
    Report Date
    June 12, 2001
    Manufacturer
    21ST CENTURY SCIENTIFIC, INC.
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO THE INITIAL REPORTER, THE USER RECEIVED MULTIPLE LEG FRACTURES WHEN THEY WERE SIDE-SWIPED BY A CAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    27399 BOUNDER POWER WHEELCHAIR ITI 21ST CENTURY SCIENTIFIC, INC. BOUNDER PLUS *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization