BEUDAMED
    FDA Adverse Event Injury Summary report: N

    INVACARE POWER WHEELCHAIR

    MDR report key: 602536 · Received May 13, 2005

    Report

    Report Number
    1525712-2005-00031
    Event Type
    Injury
    Date Received
    May 13, 2005
    Date of Event
    April 19, 2005
    Report Date
    May 11, 2005
    Manufacturer
    INVACARE CORPORATION - MANUFACTURING FACILITY
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER WAS GOING DOWN A CURB CUT OUT WHEN THE CHAIR ALLEGEDLY FIPPED OVER ON TOP OF THEM, FRACTURING THEIR FOOT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE POWER WHEELCHAIR 890.3860 ITI INVACARE CORPORATION - MANUFACTURING FACILITY M71 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR Required Intervention