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 |