BEUDAMED
    FDA Adverse Event Death Summary report: N

    INVACARE THERAPEUTIC SUPPORT SYSTEM

    MDR report key: 488576 · Received October 7, 2003

    Report

    Report Number
    1525712-2003-00114
    Event Type
    Death
    Date Received
    October 7, 2003
    Report Date
    October 7, 2003
    Manufacturer
    DISTRIBUTED PRODUCT
    Product Code
    IKZ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    A CONSUMER ALLEGEDLY FELL OUT OF BED WHILE LAYING ON AIR MATTRESS. THIS ALLEGEDLY RESULTED IN THE CONSUMER'S DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE THERAPEUTIC SUPPORT SYSTEM 880.5550 IKZ DISTRIBUTED PRODUCT CG8000 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Death