BEUDAMED
    FDA Adverse Event Injury Summary report: N

    DRIVE FASHION WALKER

    MDR report key: 1770452 · Received July 14, 2010

    Report

    Report Number
    MW5016813
    Event Type
    Injury
    Date Received
    July 14, 2010
    Date of Event
    July 7, 2010
    Report Date
    July 13, 2010
    Manufacturer
    MEDICAL DEPOT, INC.
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    FOLDING MECHANISM ON TOP BAR WILL COLLAPSE SIDES IF USER INADVERTENTLY RESTS HAND ON THE MECHANISM CAUSING WALKER TO BECOME UNSTEADY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DRIVE FASHION WALKER WALKER ITJ MEDICAL DEPOT, INC. DR K 10202P-2

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Required Intervention