BEUDAMED
    FDA Adverse Event Other Summary report: N

    WALKER, 2-BUTTON, FOLDING, ADJ.

    MDR report key: 258858 · Received January 13, 2000

    Report

    Report Number
    1417592-2000-00001
    Event Type
    Other
    Date Received
    January 13, 2000
    Date of Event
    November 1, 1999
    Report Date
    November 1, 1999
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, THE LOWER WELD OF THE WALKER BROKE WHILE A PT WAS USING IT. THE PT WAS NOT INJURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WALKER, 2-BUTTON, FOLDING, ADJ. WALKER ITJ MEDLINE INDUSTRIES, INC. MDS86410 *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other