FDA Adverse Event Injury Summary report: N

SKIL CARE CHAIR PRO

MDR report key: 1010226 · Received March 7, 2008

Report

Report Number
MW5005820
Event Type
Injury
Date Received
March 7, 2008
Date of Event
January 18, 2008
Report Date
March 7, 2008
Manufacturer
SKIL CARE
Product Code
KNO
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

RESIDENT IS CONFUSED. RESIDENT STOOD UP FROM WHEEL CHAIR AND FELL TO FLOOR. ALARM DID NOT SOUND TO ALERT STAFF AS IT SHOULD HAVE. RESIDENT WAS IN A SUPERVISED AREA.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SKIL CARE CHAIR PRO UNDER SEAT WHEEL CHAIR ALARM KNO SKIL CARE 909369

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization ALARM WAS ON LOW PROFILE INVACARE WHELL CHAIR.