BEUDAMED
    FDA Adverse Event Other Summary report: N

    INVACARE RELIANT 450

    MDR report key: 771301 · Received October 19, 2006

    Report

    Report Number
    MW1040731
    Event Type
    Other
    Date Received
    October 19, 2006
    Date of Event
    October 1, 2006
    Report Date
    October 4, 2006
    Manufacturer
    INVACARE CORPORATION
    Product Code
    FSA
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    KS, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    USING AN INVACARE RELIANT 450 TO TRANSFER A RESIDENT FROM GERI CHAIR TO BED, THE LIFT TILTED OVER WITH THE RESIDENT IN THE LIFT WHILE IN THE UP POSITION BETWEEN THE BED AND THE WALL WITH THE RESIDENT ENDING UP ON THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE RELIANT 450 PATIENT LIFT FSA INVACARE CORPORATION RPL 450-1 *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Other