BEUDAMED
    FDA Adverse Event Death Summary report: N

    TRANS CHAIR, DLA, SA, 19", 300 LB, RD

    MDR report key: 23180147 · Received September 30, 2025

    Report

    Report Number
    1417592-2025-00518
    Event Type
    Death
    Date Received
    September 30, 2025
    Date of Event
    August 30, 2025
    Report Date
    September 30, 2025
    Manufacturer
    MEDLINE INDUSTRIES, LP
    Product Code
    INM
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    ACCORDING TO THE CUSTOMER, ON 8/30/2025, "CALLER WAS PUSHING HUSBAND ON THE CHAIR OUTSIDE AND THE FRAME BELOW THE WHEEL SNAPPED OFF, SHE BELIEVES IT WAS THE FRONT RIGHT SIDE. HE FELL OUT OF THE CHAIR, NO INJURIES WERE REPORTED BUT CALLER ADDED HUSBAND PASSED AWAY THE SAME WEEKEND. HE DID NOT GET INJURED WHEN HE FELL AND DID NOT SEEK MEDICAL ATTENTION." DEATH IS NOT RELATED TO DEVICE MALFUNCTION. NO ADDITIONAL INFORMATION AT THIS TIME. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT COULD CAUSE OR CONTRIBUTE TO SERIOUS INJURY IF IT WERE TO OCCUR. 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. IMPACT CODE (F): 4657: DEATH NOT RELATED TO REPORTED ADVERSE EVENT. UNABLE TO FIND ON ESUBMITTER.

    Description of Event or Problem · 0

    ACCORDING TO THE CUSTOMER, "CALLER WAS PUSHING HUSBAND ON THE CHAIR OUTSIDE AND THE FRAME BELOW THE WHEEL SNAPPED OFF, SHE BELIEVES IT WAS THE FRONT RIGHT SIDE. HE FELL OUT OF THE CHAIR, NO INJURIES WERE REPORTED BUT CALLER ADDED HUSBAND PASSED AWAY THE SAME WEEKEND. HE DID NOT GET INJURED WHEN HE FELL AND DID NOT SEEK MEDICAL ATTENTION."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2014867 TRANS CHAIR, DLA, SA, 19", 300 LB, RD INM MEDLINE INDUSTRIES, LP

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Male Other| D