FDA Adverse Event
Malfunction
Summary report: N
INNOVATIVE PRODUCTS UNLIMITED, INC.
MDR report key: 1651129
·
Received March 31, 2010
Report
- Report Number
- 1833497-2010-00006
- Event Type
- Malfunction
- Date Received
- March 31, 2010
- Date of Event
- March 24, 2010
- Report Date
- March 30, 2010
- Manufacturer
- INNOVATIVE PRODUCTS UNLIMITED, INC.
- Product Code
- INN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CT, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
A SHOWER CHAIR BROKE AT THE "T" BELOW THE SEAT CAUSING THE CHAIR TO COLLAPSE RESULTING IN A PT INJURY. THE CHAIR WAS BUILT ON OR BEFORE OCTOBER 2002. THE AGE OF THE CHAIR IS UNK, AND WAS NOT RETURNED FOR OBSERVATION. NO FURTHER ACTION REQUIRED.
Description of Event or Problem · 1
A SHOWER CHAIR BROKE AT THE "T" BELOW THE SEAT CAUSING THE CHAIR TO COLLAPSE RESULTING IN A PT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INNOVATIVE PRODUCTS UNLIMITED, INC. | SHOWER CHAIR | INN | INNOVATIVE PRODUCTS UNLIMITED, INC. | SC200 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |