BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDLINE IND. INC

    MDR report key: 2034796 · Received March 21, 2011

    Report

    Report Number
    MW5019970
    Event Type
    Injury
    Date Received
    March 21, 2011
    Date of Event
    February 13, 2011
    Report Date
    March 21, 2011
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    DISABLED, I NEEDED A SHOWER CHAIR TO BATH. ALONE, USING THEIR CHAIR, IT COLLAPSED UNDER ME LEAVING ME FOR 4 HOURS ON THE FLOOR AND COLLAPSED CHAIR IN THE SHOWER UNTIL MY DAUGHTER CAME HOME. NOW, 2 MONTHS LATER MY LEGS, BACK AND HANDS (NUMB) HAVE NOT RECOVERED AND DR'S AND PT SAY THEY MAY NEVER WILL. IN THE FALL, I BANGED MY HEAD CAUSING DAMAGE TO MY NECK, LEGS AND SPINE. OBVIOUSLY POORLY DESIGNED AND DEFECTIVE. PLEASE RECALL THIS BEFORE OTHERS GET INJURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDLINE IND. INC SHOWER CHAIR INM MD589740A E080844222

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Hospitalization| R| S