BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 2923537 · Received January 22, 2013

    Report

    Report Number
    1531186-2013-00253
    Date Received
    January 22, 2013
    Report Date
    January 19, 2013
    Manufacturer
    PINGHU WEIFENG MATERIAL TECHNOLOGY
    Product Code
    IPR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT PART OF A SCREW ON AN 8115-J CRUTCH BROKE OFF ON ONE OF THE HANDLES AND THE PLASTIC PART BELOW THE HEIGHT ADJUSTMENT KEEPS FALLING DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    29718 CRUTCH 890.3150 IPR PINGHU WEIFENG MATERIAL TECHNOLOGY 8115-J

    Patients

    Seq Age Sex Outcome Treatment
    1 Other