BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INVACARE

    MDR report key: 2132600 · Received June 13, 2011

    Report

    Report Number
    MW5020979
    Event Type
    Injury
    Date Received
    June 13, 2011
    Date of Event
    June 13, 2011
    Report Date
    June 13, 2011
    Manufacturer
    INVACARE
    Product Code
    FNG
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHILE RESIDENT WAS BEING TRANSFERRED USING INVACARE LIFT MODEL RELIANT 600 THE SWIVEL BAR CAME OFF CAUSING RESIDENT TO FALL ONTO THE BED. THE SWIVEL BAR HIT THE RESIDENT IN THE ABDOMINAL AREA. RESIDENT IS BEING OBSERVED FOR ANY COMPLAINTS OR PAIN. AREA CURRENTLY IS REDDENED. IT APPEARS AS THOUGH THE NUT FAILED CAUSING THE PIN TO FALL OUT RELEASING THE SWIVEL BAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE INVACARE LIFT FNG INVACARE RPL600-1

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Other