BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RAISED TOILET SEAT

    MDR report key: 322208 · Received March 20, 2001

    Report

    Report Number
    1525712-2001-00047
    Event Type
    Injury
    Date Received
    March 20, 2001
    Report Date
    March 12, 2001
    Manufacturer
    INVACARE CORP.
    Product Code
    IKW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MFR RECEIVED A REPORT FROM A DEALER THAT THE ENDUSER WAS LEANING HEAVILY ON THE SEAT WHEN THE CLAMPS ALLEGEDLY CAME LOOSE, CAUSING THE USER TO FALL AND BREAK THEIR RIGHT HIP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    12353 RAISED TOILET SEAT DAILY ACTIVITY ASSIST DEVICE IKW INVACARE CORP. RAISED TOILET SEAT NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Required Intervention