FDA Adverse Event Other Summary report: N

ACCESS POINT MEDICAL

MDR report key: 1546759 · Received November 23, 2009

Report

Report Number
3005009085-2009-00002
Event Type
Other
Date Received
November 23, 2009
Date of Event
June 5, 2007
Report Date
November 23, 2009
Manufacturer
ACCESS POINT MEDICAL
Product Code
ITJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

IF PRODUCT IS RETURNED OR ADD'L INFO IS REC'D, WE WILL SUBMIT AN UPDATED MDR REPORT AT THAT TIME.

Description of Event or Problem · 1

PT HAS SUED (B)(6) BECAUSE SHE TRIPPED AND FELL UPON ENTERING THE (B)(6). (B)(6) HAS IN TURN SUED ACCESS POINT MEDICAL ALLEGING PT WAS USING A WALKER MFG BY ACCESS POINT MEDICAL INC AT THE TIME OF THE TRIP AND FALL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACCESS POINT MEDICAL WALKER ITJ ACCESS POINT MEDICAL WK42351-4 LT043006

Patients

Seq Age Sex Outcome Treatment
1 Other