FDA Adverse Event Death Summary report: N

ROHO LOW PROFILE SINGLE COMPARTMENT CUSHION

MDR report key: 16855205 · Received May 2, 2023

Report

Report Number
16855205
Event Type
Death
Date Received
May 2, 2023
Date of Event
April 8, 2023
Report Date
April 17, 2023
Manufacturer
ROHO, INC.
Product Code
MOC
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
NY, US
Reporter Occupation
501
Health Professional
Yes

Narratives

Description of Event or Problem · 0

EXPIRED RESIDENT FOUND POSITIONED BETWEEN POWER WHEELCHAIR ARMREST AND SEAT. STAFF NEEDED TO REMOVE ARMREST IN ORDER TO RELEASE BODY. EXPIRED RESIDENT FOUND TO HAVE SLID OFF THE RIGHT SIDE OF HIS CHAIR IN THE SPACE BETWEEN THE FLIP UP ARM REST AND HIS WHEELCHAIR SEAT. HIS BOTTOM AND FEET WERE ON THE FLOOR. HIS WHEELCHAIR CUSHION HAD SLID DOWN OVER THE EDGE OF THE POWER WHEELCHAIR AND WAS PRESSING AGAINST HIS NECK AND BACK. HIS RIGHT UPPER EXTREMITY WAS WRAPPED AROUND THE OUTER SIDE OF THE REAR SUPPORT BAR BETWEEN THE RIGHT ARM REST AND BACK REST. HIS CHIN WAS RESTING UPON THE ARM REST. M.E. CONTACTED AND DECLINED JURISDICTION DUE TO BELIEF THAT DEATH WAS LIKELY A NATURAL EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1800289 ROHO LOW PROFILE SINGLE COMPARTMENT CUSHION CUSHION, FLOTATION, THERAPEUTIC MOC ROHO, INC. 1R99LPC

Patients

Seq Age Sex Outcome Treatment
1 70 YR Male Death