FDA Adverse Event
Injury
Summary report: N
INNOVATIVE PRODUCTS UNLIMITED, INC.
MDR report key: 705899
·
Received April 25, 2006
Report
- Report Number
- 1833497-2006-00003
- Event Type
- Injury
- Date Received
- April 25, 2006
- Date of Event
- March 10, 2006
- Report Date
- March 27, 2006
- Manufacturer
- INNOVATIVE PRODUCTS UNLIMITED, INC.
- Product Code
- INM
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
RESIDENT FELL OVER SIDEWAYS IN THE WALKER AND HIT HIS HEAD ON A DOOR KNOB. RESIDENT APPARENTLY WAS BLIND IN ONE EYE AND ALWAYS USED WALKER SOMEWHAT TURNED TOWARDS THE SIDE, MEANING BOTH HANDS WERE ALWAYS ON THE SAMW RAIL. RESIDENT SENT TO HOSPITAL AND EXPIRED IN 2006.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | INNOVATIVE PRODUCTS UNLIMITED, INC. | WALKER | INM | INNOVATIVE PRODUCTS UNLIMITED, INC. | UNK | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 84 YR | Hospitalization |