inforMED
InjuryIOR

INVACARE MANUAL WHEELCHAIR

Received Nov 3, 2005 · Event occurred Oct 2, 2005

Report 1525712-2005-00087 · MDR key 644747

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)

Patient

49 YR

  • Fall
  • Bone Fracture(s)

Narrative

Description of Event or Problem

THE CONSUMER WAS GOING DOWN A HILL ON THE SIDEWALK WHEN THE CASTERS ALLEGEDLY STARTED FLUTTERING AND THEN STOPPPED SUDDENLY, CAUSING THE CONSUMER TO "FLY" OUT OF THE CHAIR, ALLEGEDLY BREAKING HIS NOSE.