BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INVACARE CARE GUARD SHOWER CHAIR WITH BACK

    MDR report key: 2211301 · Received August 11, 2011

    Report

    Report Number
    2211301
    Event Type
    Malfunction
    Date Received
    August 11, 2011
    Date of Event
    April 23, 2011
    Report Date
    August 11, 2011
    Manufacturer
    INVACARE
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US

    Narratives

    Description of Event or Problem · 1

    A PATIENT WAS PLACED IN THE INVACARE CARE GUARD SHOWER CHAIR WITH BACK IN FRONT OF BATHROOM SINK TO CLEAN UP. THE PATIENT TURNED THE LIGHT ON AND WAS FOUND ON FLOOR UNHARMED. HE STATED HE ATTEMPTED TO MOVE HIS CHAIR BACK CAUSING THE SHOWER CHAIR LEG TO BEND AND BREAK CAUSING HIM TO FALL TO THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE CARE GUARD SHOWER CHAIR WITH BACK SHOWER CHAIR INM INVACARE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR NO OTHER THERAPIES