BEUDAMED
    FDA Adverse Event Other Summary report: N

    IPU

    MDR report key: 466784 · Received June 17, 2003

    Report

    Report Number
    MW1028722
    Event Type
    Other
    Date Received
    June 17, 2003
    Date of Event
    May 17, 2003
    Report Date
    June 17, 2003
    Manufacturer
    INOVATIVE PRODUCTS UNLIMITED
    Product Code
    INM
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS BEING POSITIONED OVER THE TOILET IN A SHOWER CHAIR. THE SHOWER CHAIR BROKE CAUSING THE PT TO FALL TO THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 IPU SHOWER CHAIR INM INOVATIVE PRODUCTS UNLIMITED SCC9150 *

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Other