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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DRIVE MEDICAL DRIVE MEDICAL RECLINING WHEELCHAIR, CHROME SPORT SERIES; WHEELCHAIR, MECHANICAL
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DRIVE MEDICAL DRIVE MEDICAL RECLINING WHEELCHAIR, CHROME SPORT SERIES; WHEELCHAIR, MECHANICAL Back to Search Results
Model Number DRIVE MEDICAL RECLINING WHEELCHAIR, CHROME SPORT SERIES
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Fall (1848)
Event Date 02/03/2020
Event Type  Injury  
Event Description
Facility said patient was sitting on the chair and slid off.There were no injuries to the patient and no medical attention needed.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
 
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Brand Name
DRIVE MEDICAL RECLINING WHEELCHAIR, CHROME SPORT SERIES
Type of Device
WHEELCHAIR, MECHANICAL
Manufacturer (Section D)
DRIVE MEDICAL
MDR Report Key17534625
MDR Text Key321048370
Report NumberMW5141526
Device Sequence Number1
Product Code IOR
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Other
Type of Report Initial
Report Date 03/04/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/12/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Model NumberDRIVE MEDICAL RECLINING WHEELCHAIR, CHROME SPORT SERIES
Patient Sequence Number1
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