BEUDAMED
    FDA Adverse Event Other Summary report: N

    QUICKIE

    MDR report key: 350009 · Received August 31, 2001

    Report

    Report Number
    2082643-2001-00204
    Event Type
    Other
    Date Received
    August 31, 2001
    Date of Event
    July 1, 2001
    Report Date
    August 31, 2001
    Manufacturer
    SUNRISE MEDICAL, MPD
    Product Code
    ITI
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    REPORTER STATE CHAIR GOT STUCK IN THE SAND AND CAUGHT FIRE. END USER WAS ABLE TO GET OUT OF CHAIR BUT DID HAVE ARM HAIR SINGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    39669 QUICKIE WHEELCHAIR, POWERED ITI SUNRISE MEDICAL, MPD QUICKIE G424 P/N FIG42

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Other