Brand Name | RIFTON ACTIVITY CHAIR |
Type of Device | ACTIVITY CHAIR |
Manufacturer (Section D) |
RIFTON EQUIPMENT |
2255 platte clove rd. |
elka park NY 12427 |
|
Manufacturer (Section G) |
RIFTON EQUIPMENT |
2255 platte clove rd. |
|
elka park NY 12427 |
|
Manufacturer Contact |
travis
scott
|
103 woodcrest drive |
rifton, NY 12471
|
8456587722
|
|
MDR Report Key | 18418521 |
MDR Text Key | 331598008 |
Report Number | 1319558-2023-00004 |
Device Sequence Number | 1 |
Product Code |
INN
|
Combination Product (y/n) | N |
Reporter Country Code | UK |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Manufacturer
|
Source Type |
User Facility |
Reporter Occupation |
Other
|
Type of Report
| Initial |
Report Date |
12/29/2023 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Date FDA Received | 12/29/2023 |
Is this an Adverse Event Report? |
No
|
Is this a Product Problem Report? |
Yes
|
Device Operator |
Health Professional
|
Device Model Number | R820 |
Device Catalogue Number | R820 |
Was Device Available for Evaluation? |
No
|
Date Manufacturer Received | 11/30/2023 |
Was Device Evaluated by Manufacturer? |
Device Not Returned to Manufacturer
|
Date Device Manufactured | 11/24/2020 |
Is the Device Single Use? |
No
|
Is This a Reprocessed and Reused Single-Use Device? |
No
|
Type of Device Usage |
Initial
|
Patient Sequence Number | 1 |
Patient Sex | Male |
|
|