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