BEUDAMED
    FDA Adverse Event Other Summary report: N

    INVACARE

    MDR report key: 471006 · Received July 8, 2003

    Report

    Report Number
    MW1028940
    Event Type
    Other
    Date Received
    July 8, 2003
    Date of Event
    June 26, 2003
    Report Date
    July 8, 2003
    Manufacturer
    INVACARE
    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

    RESIDENT SAT ON A SHOWER CHAIR CAUSING IT TO FAIL. THE RESIDENT SLID TO THE FLOOR WITHOUT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE SHOWER CHAIR INM INVACARE 85-3 *

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Other