BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INVACARE COMMODE

    MDR report key: 2803254 · Received November 8, 2007

    Report

    Report Number
    2803254
    Event Type
    Injury
    Date Received
    November 8, 2007
    Date of Event
    September 7, 2007
    Report Date
    October 23, 2007
    Manufacturer
    INVACARE
    Product Code
    INB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS TRANSFERRING FORM THE BEDSIDE COMMODE TO THE BED WHEN THE RIGHT ARM OF THE DROP ARM COMMODE RELEASED SUDDENLY. THE PT LOST HER BALANCE AND FELL ONTO HER RIGHT SIDE. THE PT STATED HER RIGHT FOOT WAS PAINFUL. AN X-RAY SHOWED A NON-DISPLACED FRACTURE OF THE RIGHT FIFTH METATARSAL BONE NEAR TARSOMETATARSAL JOINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE COMMODE GENERAL HOSPITAL PRODUCTS INB INVACARE 9669 60719

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR Required Intervention