BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FEATHERLIGHT DEMI WALKER

    MDR report key: 2101680 · Received May 17, 2011

    Report

    Report Number
    1056127-2011-00008
    Event Type
    Malfunction
    Date Received
    May 17, 2011
    Report Date
    May 17, 2011
    Manufacturer
    PINGHU ASPEL TECHNOLOGY CORP.
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS RISING FROM WALKER WHEN FRONT CASTER DETACHED. PATIENT REPORTS USING WALKER AS A TRANSPORTATION DEVICE AND WHEN USING AS A WALKER, SHE LOCKS REAR WHEELS AND THEN TILTS UNIT UP ON THE FRONT WHEELS ONLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FEATHERLIGHT DEMI WALKER WALKER, MECHANICAL ITJ PINGHU ASPEL TECHNOLOGY CORP. W1660

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR