BEUDAMED
    FDA Adverse Event Other Summary report: N

    GUARDIAN

    MDR report key: 320691 · Received March 16, 2001

    Report

    Report Number
    2020334-2001-00007
    Event Type
    Other
    Date Received
    March 16, 2001
    Report Date
    March 16, 2001
    Manufacturer
    SUNRISE MEDICAL/PCP DIVISION
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE USER LOST BALANCE WHILE USING THE WALKER. THE USER FELL ONTO THE WALKER BREAKING WRIST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    11812 GUARDIAN WALKER ITJ SUNRISE MEDICAL/PCP DIVISION 7990 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 58 YR Other