BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CHIEF SR

    MDR report key: 71150 · Received February 19, 1997

    Report

    Report Number
    2025750-1997-00001
    Event Type
    Injury
    Date Received
    February 19, 1997
    Date of Event
    January 18, 1997
    Report Date
    February 19, 1997
    Manufacturer
    REDMAN, INC.
    Product Code
    IPL
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    UNKNOWN

    Narratives

    Description of Event or Problem · 1

    USE WAS IN THE STANDING POSITION, WHEN THE CHAIR TIPPED FORWARD ALLEGEDLY BRUISING HIS KNEES. HE STATED THAT HE WAS NOT WEARING THE SEAT BELT OR CHEST HARNESS WHEN THE ACCIDENT OCCURRED. HE WAS WEARING HIS KNEE BOLSTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHIEF SR DIRECT DRIVE POWER CHAIR IPL REDMAN, INC. 107SR NA

    Patients

    Seq Age Sex Outcome Treatment
    1 34 YR Hospitalization