BEUDAMED
    FDA Adverse Event Other Summary report: N

    INVACARE POWER WHEELCHAIR

    MDR report key: 517070 · Received March 18, 2004

    Report

    Report Number
    1525712-2004-00029
    Event Type
    Other
    Date Received
    March 18, 2004
    Report Date
    March 16, 2004
    Manufacturer
    INVACARE CORP., MANUFACTURING FACILITY
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    CONSUMER'S SPOUSE ALLEGES PT FELL FORWARD OUT OF THEIR CHAIR WHILE GOING DOWN A CONCRETE RAMP OUTSIDE THEIR HOME AND REPORTEDLY CUT THEIR HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE POWER WHEELCHAIR 890.3860 ITI INVACARE CORP., MANUFACTURING FACILITY M51 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 78 YR Required Intervention