BEUDAMED
    FDA Adverse Event Other Summary report: N

    TRACER

    MDR report key: 44779 · Received October 25, 1996

    Report

    Report Number
    MW1010158
    Event Type
    Other
    Date Received
    October 25, 1996
    Date of Event
    October 2, 1996
    Report Date
    October 18, 1996
    Manufacturer
    INVACARE CORP.
    Product Code
    IOR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    REHAB PT SITTING IN WHEELCHAIR. PT STATED SHE WAS TAKING HER SHOES OFF AND THE WHEELCHAIR TIPPED FORWARD. SHE GRABBED THE BED AND CAUGHT HERSELF. THE RIM OF THE FRONT LEFT CASTER CAME OFF WHICH CAUSED IT TO TIP FORWARD. THE PT WAS NOT INJURED. WHEELCHAIR PURCHASED 8/96.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TRACER WHEELCHAIR IOR INVACARE CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 69 YR Other