inforMED
DeathIML

EVEREST & JENNINGS

Received Aug 14, 2018 · Event occurred Jun 11, 2018

Report 7788233 · MDR key 7788233

Device

Generic name

Companion Chair

Manufacturer

Graham-field

Model number

IOSO83WC0319

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

91 YR

  • Fall
  • Bone Fracture(s)
  • Fall
  • Bone Fracture(s)

Narrative

Description of Event or Problem

AM, AN ASSISTED LIVING FACILITY RESIDENT, FELL FORWARD OUT OF THE WHEELCHAIR, LANDING ON HER FACE. WAS SENT TO HOSP WHERE SHE WAS FOUND TO HAVE SUSTAINED A FRACTURED NOSE, AND LACERATIONS TO THE NOSE AND UPPER LIP, WHICH REQUIRED SUTURES. SHE WAS RETURNED TO THE ALF AND DEMONSTRATED DECLINE OVER THE NEXT DAYS, DYING ON (B)(6) 2018.