FDA Adverse Event
Injury
Summary report: N
RAISED TOILET SEAT
MDR report key: 325483
·
Received March 29, 2001
Report
- Report Number
- 1525712-2001-00061
- Event Type
- Injury
- Date Received
- March 29, 2001
- Date of Event
- December 23, 2000
- Report Date
- March 26, 2001
- Manufacturer
- INVACARE CORPORATION
- Product Code
- IKW
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DC, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
MANUFACTURER RECEIVED A REPORT FROM A FACILITY THAT THE SPOUSE OF THE CONSUMER ALLEGES PATIENT WAS INJURED IN A FALL WHEN THEIR RAISED TOILET SEAT DISCONNECTED FROM THE TOILET. WHAT ROLE, IF ANY DID INVACARE DEVICE CAUSED OR CONTRIBUTED TO THE INCIDENT, IS UNCLEAR. THE PATIENT SUBSEQUENTLY DIED OF PNEUMONIA.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 14333 | RAISED TOILET SEAT | DAILY ACTIVITY ASSIST DEVICE | IKW | INVACARE CORPORATION | RAISED TOILET SEAT | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 79 YR | Required Intervention |