BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CRUTCH

    MDR report key: 18247208 · Received November 30, 2023

    Report

    Report Number
    MW5148638
    Event Type
    Injury
    Date Received
    November 30, 2023
    Date of Event
    November 6, 2023
    Report Date
    November 28, 2023
    Manufacturer
    DRIVE / MEDICAL DEPOT INC.
    Product Code
    INP
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    PATIENT USED DRIVE CRUTCHES AFTER HAVING HAD FOOT SURGERY. THE CRUTCH MALFUNCTIONED RESULTING IN HER FALLING AND INJURING HERSELF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    75565 CRUTCH TIPS AND PADS, CANE, CRUTCH AND WALKER INP DRIVE / MEDICAL DEPOT INC. 104001-1

    Patients

    Seq Age Sex Outcome Treatment
    1 59 YR Female Other