BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ANTHROS

    MDR report key: 147020 · Received January 5, 1998

    Report

    Report Number
    147020
    Event Type
    Injury
    Date Received
    January 5, 1998
    Date of Event
    August 7, 1997
    Report Date
    August 7, 1997
    Manufacturer
    THE ANTHROS MEDICAL GROUP
    Product Code
    INN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    NURSING ASSISTANT

    Narratives

    Description of Event or Problem · 1

    NA REPORTS PULLING SHOWER CHAIR WITH RESIDENT SITTING ON IT OUT OF SHOWER ROOM INTO ALCOVE AND HALLWAY. SHE WAS TURNING SHOWER CHAIR AROUND TO GO FORWARD, SHE HEARD A CREAKING NOISE AND (R) FRONT WHEEL POPPED OFF PVC ROLLING COMMODE. RESIDENT FELL FORWARD, HITTING HEAD AND (R) SHOULDER ON FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ANTHROS PVC COMMODE/SHOWER CHAIR INN THE ANTHROS MEDICAL GROUP * *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Hospitalization