BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LIFE STAND

    MDR report key: 178593 · Received July 21, 1998

    Report

    Report Number
    178593
    Event Type
    Injury
    Date Received
    July 21, 1998
    Date of Event
    July 10, 1998
    Report Date
    July 19, 1998
    Manufacturer
    IDC MEDICAL EQUIP. INC
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    RI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WITNESS STATES THAT PT WAS ABOUT TO STAND IN HER LIFE STAND WHEELCHAIR WHEN THE LOCKING MECHANISM BETWEEN THE KNEE BRACES OPENED CAUSING THE PT TO FALL FORWARD ON HER KNEES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LIFE STAND WHEELCHAIR IOR IDC MEDICAL EQUIP. INC IDC 1991 TYPE VDI *

    Patients

    Seq Age Sex Outcome Treatment
    1 81 YR Required Intervention