BEUDAMED
    FDA Adverse Event Other Summary report: N

    GUARDIAN

    MDR report key: 187507 · Received September 17, 1998

    Report

    Report Number
    2020334-1998-00017
    Event Type
    Other
    Date Received
    September 17, 1998
    Date of Event
    October 1, 1997
    Report Date
    September 15, 1998
    Manufacturer
    SUNRISE MEDICAL PCP DIV
    Product Code
    INP
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT IS REPORTED THAT THE END USER WAS APPROACHING THE WALKER WITH THE PALTFORM ATTACHED. SHE APPLIED HER WEIGHT TO THE PLATFORM ATTACHMENT, THEN THE POST BROKE CAUSING HER TO FALL AND FRACTURE TWO RIBS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GUARDIAN WALKER PLATFORM ATTACHMENT INP SUNRISE MEDICAL PCP DIV 7702 UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other