BEUDAMED
    FDA Adverse Event Death Summary report: N

    ROLLATOR,STEEL,KD

    MDR report key: 22594821 · Received July 24, 2025

    Report

    Report Number
    1417592-2025-00353
    Event Type
    Death
    Date Received
    July 24, 2025
    Date of Event
    July 7, 2025
    Report Date
    July 24, 2025
    Manufacturer
    MEDLINE INDUSTRIES, LP
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    THERE WAS NO CONTACT INFORMATION PROVIDED IN THE REPORT THAT MEDLINE RECEIVED FROM AMAZON TO FOLLOW UP WITH THE CUSTOMER THEREFORE NO ADDITIONAL INFORMATION IS AVAILABLE TO BE OBTAINED. PER THE REPORT THE ROLLATOR, WITH THE BRAKES LOCKED, SLID OUT FROM UNDER HER IN THE BATHROOM, CAUSING CUSTOMER TO FALL, THIS HAS LED TO AN ADVERSE EVENT SINCE THE CUSTOMER PASSED AWAY FROM THE FALL A WEEK LATER'. IT HAS BEEN DETERMINED THAT THE REPORTED EVENT CAUSED OR CONTRIBUTED TO SERIOUS INJURY REQUIRING MEDICAL INTERVENTION, THEREFORE, THIS MEDWATCH IS BEING FILED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED OR OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED.

    Description of Event or Problem · 0

    THE ROLLATOR, WITH THE BRAKES LOCKED, SLID OUT FROM UNDER HER IN THE BATHROOM, CAUSING CUSTOMER TO FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1859823 ROLLATOR,STEEL,KD ITJ MEDLINE INDUSTRIES, LP

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Female Death