inforMED
InjuryIOR

INVACARE MANUAL WHEELCHAIR

Received Oct 7, 2004 · Event occurred Aug 30, 2004

Report 1529155-2004-00104 · MDR key 548156

Device

Generic name

890.3850

Manufacturer

Custom Manual

Model number

F-4

Catalog number

F-4

Lot number

NA

Product problems

  • Unknown (for use when the device problem is not known)
  • Device Tipped Over

Patient

23 YR

  • Fall
  • Surgical procedure

Narrative

Description of Event or Problem

THE CONSUMER WAS GOING DOWN A VAN RAMP WHEN THEIR ANTI TIPPERS ALLEGEDLY GAVE WAY AND PUSHED FORWARD INTO THE FRAME, ALLOWING THE CHAIR TO TIP BACKWARDS. THE CONSUMER ALLEGEDLY HIT THEIR HEAD AND RECEIVED STITCHES FOR A LACERATION.