BEUDAMED
    FDA Adverse Event Death Summary report: N

    TRANS CHAIR,ALUM,12 WHL, 19" 300 LB, RED

    MDR report key: 23044148 · Received September 12, 2025

    Report

    Report Number
    1417592-2025-00470
    Event Type
    Death
    Date Received
    September 12, 2025
    Date of Event
    May 9, 2025
    Report Date
    October 15, 2025
    Manufacturer
    MEDLINE INDUSTRIES, LP
    Product Code
    INM
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER
    Health Professional
    N

    Narratives

    Additional Manufacturer Narrative · 0

    ACCORDING TO THE CUSTOMER, ON (B)(6) 2025 THE TRANSPORT CHAIR WAS "STRAPPED DOWN" ON A BUS WHEN THE "BAR THAT CONNECTS THE WHEELS FROM FRONT TO BACK BROKE CLOSE TO THE LEFT FRONT WHEEL" CAUSING HER HUSBAND TO FALL. THE CUSTOMER REPORTED HER HUSBAND "HIT HIS HEAD SHOULDER, AND KNEES" WHILE "FALLING SIDEWAYS". THE CUSTOMER REPORTED SHE IS UNAWARE OF ANY SUSTAINED INJURIES RELATED TO THE FALL. THE CUSTOMER REPORTED HE WAS COMPLAINING OF "PAIN" AFTER THE INCIDENT, BUT HE "ALWAYS HAS PAIN". THE CUSTOMER REPORTED HER HUSBAND "PASSED AWAY" ON (B)(6) 2025. THE CUSTOMER DID NOT REPORT ANY PRODUCT INVOLVEMENT RELATED TO THE USER'S DEATH. THE CUSTOMER DID NOT REPORT ANY SERIOUS INJURY, MEDICAL INTERVENTION, OR FOLLOW-UP CARE RELATED TO THE REPORTED PRODUCT INCIDENT. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR AGAIN. IN AN ABUNDANCE OF CAUTION, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

    Additional Manufacturer Narrative · 0

    UPDATE TO D4: SERIAL NUMBER. UPDATE TO H6: INVESTIGATION CONCLUSIONS.

    Description of Event or Problem · 0

    ACCORDING TO THE CUSTOMER, ON (B)(6) 2025 THE TRANSPORT CHAIR WAS "STRAPPED DOWN" ON A BUS WHEN THE "BAR THAT CONNECTS THE WHEELS FROM FRONT TO BACK BROKE CLOSE TO THE LEFT FRONT WHEEL" CAUSING HER HUSBAND TO FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2170960 TRANS CHAIR,ALUM,12 WHL, 19" 300 LB, RED INM MEDLINE INDUSTRIES, LP

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Male Other| D