BEUDAMED
    FDA Adverse Event Death Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 1883281 · Received October 22, 2010

    Report

    Report Number
    1525712-2010-00155
    Event Type
    Death
    Date Received
    October 22, 2010
    Date of Event
    September 23, 2010
    Report Date
    October 22, 2010
    Manufacturer
    INVACARE
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    MANUFACTURER RECEIVED INFO REGARDING A HOUSE FIRE RESULTING IN A DEATH. THE DECEASED WAS IN AN INVACARE POWER CHAIR IN HER KITCHEN. NEWS ARTICLE STATES THE HOMEOWNER WAS COOKING IN THE KITCHEN WHEN A GREASE FIRE REPORTEDLY BROKE OUT. NO ADD'L INFO HAS BEEN PROVIDED AT THIS TIME. MDR FILED AS A CONSERVATIVE MEASURE.

    Description of Event or Problem · 1

    WE RECEIVED INFO REGARDING A FATAL HOUSE FIRE IN WHICH AN INVACARE POWER CHAIR WAS BEING USED BY THE CONSUMER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 POWERED WHEELCHAIR 890.3860 ITI INVACARE M41

    Patients

    Seq Age Sex Outcome Treatment
    1 Death