BEUDAMED
    FDA Adverse Event Summary report: N

    *

    MDR report key: 2430428 · Received January 26, 2012

    Report

    Report Number
    2430428
    Date Received
    January 26, 2012
    Date of Event
    October 15, 2011
    Report Date
    January 26, 2012
    Manufacturer
    MEDICAL DEPOT D/B/A DRIVE MEDICAL DESIGN AND MANUFACTURING
    Product Code
    ITJ
    Report Source
    User Facility report
    Reporter Location
    CA, US

    Narratives

    Description of Event or Problem · 1

    A PATIENT WAS REPORTED FALLING. THE SHARP EDGE OF THE WALKER ALLEGEDLY CUT HER LEFT LEG, REQUIRING 53 STITCHES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * MECHANICAL WALKER ITJ MEDICAL DEPOT D/B/A DRIVE MEDICAL DESIGN AND MANUFACTURING MODEL # 10211-1 *

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR