FDA Adverse Event Injury Summary report: N

RAISED TOILET SEAT

MDR report key: 313609 · Received January 19, 2001

Report

Report Number
1525712-2000-00107
Event Type
Injury
Date Received
January 19, 2001
Date of Event
September 8, 2000
Report Date
December 31, 2000
Manufacturer
INVACARE CORP.
Product Code
IKW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

MFR RECEIVED A REPORT FROM A CONSUMER ALLEGING THAT THE RAISED TOILET SEAT CAME LOOSE FROM THE COMMODE, CAUSING THE USER TO FALL TO THE FLOOR. AS A RESULT OF THE INCIDENT, THE CONSUMER SUSTAINED INJURIES TO THE HEAD REQUIRING STITCHES AND ABRASION TO THE FOREARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2543 RAISED TOILET SEAT DAILY ACTIVITY ASSIST DEVICE IKW INVACARE CORP. RAISED TOILET SEAT NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention