BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 2940844 · Received February 4, 2013

    Report

    Report Number
    1531186-2013-00385
    Date Received
    February 4, 2013
    Report Date
    February 1, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IPR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) - THE DEALER REPORTED THAT THE PATIENT WAS WALKING AND PLACED THE 6154 ADULT FOREARM CRUTCH UNDER HIS ARM WHEN ITS FOREARM SNAPPED IN HALF. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    46451 CRUTCH 890.3150 IPR UNKNOWN 6154

    Patients

    Seq Age Sex Outcome Treatment
    1 26 Other