BEUDAMED
    FDA Adverse Event Death Summary report: N

    INVACARE RELIANT 450

    MDR report key: 546779 · Received September 21, 2004

    Report

    Report Number
    546779
    Event Type
    Death
    Date Received
    September 21, 2004
    Date of Event
    September 4, 2004
    Report Date
    September 20, 2004
    Manufacturer
    INVACARE CORPORATION
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RESIDENT WAS BEING TRANSFERRED FROM WHEELCHAIR TO BED VIA MECHANICAL LIFT WITH ASSISTANCE FROM TWO CNAS. DURING TRANSFER, BOTH CNAS REPORTED THAT THE TRAPEZE BAR HOLDING THE SLING WITH THE RESIDENT BECAME UNBALANCED AND THE LIFT BEGAN TIPPING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE RELIANT 450 MECHANICAL LIFT FSA INVACARE CORPORATION RPL-4501 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Death