BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 3203417 · Received July 2, 2013

    Report

    Report Number
    1531186-2013-02912
    Date Received
    July 2, 2013
    Report Date
    June 7, 2013
    Manufacturer
    JAN MAO
    Product Code
    IPR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE MOUNTING SLEEVE ON A 8153-T FOREARM CRUTCH HAS A RIVET AND THE RIVET IS SHIFTING AND THE CUFF IS MOVING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    301185 CRUTCH 890.3150 IPR JAN MAO 8153-T

    Patients

    Seq Age Sex Outcome Treatment
    1 Other