BEUDAMED
    FDA Adverse Event Death Summary report: N

    INVACARE RELIANT 450

    MDR report key: 1747436 · Received February 10, 2010

    Report

    Report Number
    1747436
    Event Type
    Death
    Date Received
    February 10, 2010
    Date of Event
    January 28, 2010
    Report Date
    February 2, 2010
    Manufacturer
    INVACARE
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2010, RESIDENT WAS BEING TRANSFERRED VIA INVACARE RELIANT LIFT. WHEN THE BOTTOM OF THE SLING BECAME SLACK AND DISLODGED FROM HANGER. RESIDENT SLID FROM SLING, FALLING TO FLOOR RESULTING IN HEMATOMA TO RIGHT SIDE OF HEAD. LIFT TAKEN OUT OF SERVICE. SLING TAKEN OUT OF SERVICE. RESIDENT SENT TO ER ON (B)(6) 2010 AND RETURNED WITH NO SERIOUS INJURY. RESIDENT CTB ON (B)(6) 2010.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE RELIANT 450 NONE FSA INVACARE RPL-450-1

    Patients

    Seq Age Sex Outcome Treatment
    1 93 YR Death