FDA Adverse Event
Injury
Summary report: N
INNOVATIVE PRODUCTS UNLIMITED INC.
MDR report key: 2393044
·
Received January 12, 2006
Report
- Report Number
- 1833497-2006-00001
- Event Type
- Injury
- Date Received
- January 12, 2006
- Report Date
- December 9, 2005
- Manufacturer
- INNOVATIVE PRODUCTS UNLIMITED, INC.
- Product Code
- INO
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(6).
Description of Event or Problem · 1
STAFF WAS PLACING RESIDENT ON SHOWER CHAIN WHEN TOILET SEAT CAME LOOSE AND FELL DOWN CAUSING RESIDENT TO SLIP DOWN IN JACK KNITE POSITION AND CRACK PT RIBS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INNOVATIVE PRODUCTS UNLIMITED INC. | SHOWER CHAIR | INO | INNOVATIVE PRODUCTS UNLIMITED, INC. | ESC17 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 85 YR | Other |