FDA Adverse Event Injury Summary report: N

TRAVELER

MDR report key: 2398786 · Received December 30, 2011

Report

Report Number
2398786
Event Type
Injury
Date Received
December 30, 2011
Date of Event
October 11, 2011
Report Date
December 30, 2011
Manufacturer
GF HEALTH PRODUCTS
Product Code
IOR
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI, US

Narratives

Description of Event or Problem · 1

A PATIENT HAD COMPLETED PHYSICAL THERAPY EVALUATION AND WAS RETURNING TO HER CAR. THE HUSBAND WAS PUSHING THE PATIENT IN THE WHEELCHAIR THROUGH THE PARKING LOT WHEN THE LEFT FOOTREST SWUNG OUTWARD, DROPPING PATIENT'S LEFT FOOT ONTO THE GROUND. THE PATIENT HAD EXTREME PAIN IN THE LEFT KNEE AND WAS BROUGHT BACK INTO PHYSICAL THERAPY DEPARTMENT BY RECEPTION DESK STAFF. ICE WAS PLACED ON LEFT KNEE AND THE PATIENT'S PHYSICIAN WAS CONTACTED. THE PHYSICIAN ADVISED THE PATIENT TO GO TO EMERGENCY CARE (EC) FOR EVALUATION. THE PATIENT WAS TRANSFERRED TO THE CAR WITH ASSISTANCE OF A NURSE AND PHYSICAL THERAPIST. THE HUSBAND TOOK THE PATIENT TO EC. THE PATIENT WAS VERY ANXIOUS AND IN SEVERE PAIN. THE WHEELCHAIR WAS INSPECTED, FIXED AND RETURNED TO SERVICE. THE WHEELCHAIR IS 8 YEARS OLD AND IT IS A GF HEALTH PRODUCTS WHEELCHAIR TRAVELER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TRAVELER WHEELCHAIR IOR GF HEALTH PRODUCTS * *

Patients

Seq Age Sex Outcome Treatment
1 64 YR Other| R