BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 2974465 · Received February 22, 2013

    Report

    Report Number
    1531186-2013-00724
    Date Received
    February 22, 2013
    Report Date
    February 22, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IPR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    MDR DECISION DATE: (B)(6). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PROVIDER STATED THAT THE CAP IS LOOSE. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    78070 CRUTCH 890.3150 IPR UNKNOWN 8115-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other