BEUDAMED
    FDA Adverse Event Death Summary report: N

    INVACARE POWER WHEELCHAIR

    MDR report key: 687000 · Received March 10, 2006

    Report

    Report Number
    1525712-2006-00016
    Event Type
    Death
    Date Received
    March 10, 2006
    Date of Event
    May 7, 2005
    Report Date
    March 9, 2006
    Manufacturer
    INVACARE CORPORATION
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER'S FAMILY STATES WHEN THE CONSUMER GOT OUT OF THE CHAIR, THE JOYSTICK WAS TURNED ON. THE CONSUMER ALLEGEDLY HIT THE JOYSTICK, CAUSING THE FOOTREST SUPPORT TO JAM INTO HER LEG, ALLEGEDLY CAUSING A 1 INCH GASH IN HER LEG. THIS INJURY IS ALLEGED TO BE THE CAUSE OF HER DEATH DUE TO BLOOD LOSS.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 90 YR Death