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 |