FDA Adverse Event
Death
Summary report: N
INVACARE RELIANT 600
MDR report key: 8637054
·
Received May 22, 2019
Report
- Report Number
- 8637054
- Event Type
- Death
- Date Received
- May 22, 2019
- Date of Event
- May 10, 2019
- Report Date
- May 20, 2019
- Manufacturer
- INVACARE CORPORATION
- Product Code
- FSA
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
MALFUNCTION OF INVACARE 600 LIFE WHILE TRANSFERRING PT. LIFT ARM WITH SLING DETACHED FROM UNIT FOLLOWED BY PT FALL TO THE GROUND. INITIAL MEDICAL IMAGING AND PHYSICAL EXAM DID NOT REVEAL ANY FRACTURES OR VISIBLE INJURY. PT EXPIRED 4 HOURS AFTER EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 425458 | INVACARE RELIANT 600 | INVACARE 600 | FSA | INVACARE CORPORATION | RPL600-2 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 89 YR | Death |