BEUDAMED
    FDA Adverse Event Other Summary report: N

    ROLLS, INVACARE CORPORATION

    MDR report key: 16643 · Received February 4, 1994

    Report

    Report Number
    16643
    Event Type
    Other
    Date Received
    February 4, 1994
    Date of Event
    August 24, 1993
    Report Date
    August 27, 1993
    Manufacturer
    INVACARE CORPORATION
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MN, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PT. BEING TRANSPORTED UP RAMP TO VAN IN A RECLINING WHEELCHAIR WHICH HAD BEEN PROVIDED BY THE HOSPITAL. VAN TRANSPORTER REPORTS TOP OF BACK OF CHAIR CAME OFF AND CHAIR RECLINED ON TO RAMP, WITH PT. INCURRING 4 CM LACERATION TO THE BACK OF HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ROLLS, INVACARE CORPORATION WHEELCHAIR INVACARE CORPORATION ROLLS #N428-2-SS

    Patients

    Seq Age Sex Outcome Treatment
    1 40 * Other