FDA Adverse Event Other Summary report: N

GUARDIAN WALKER

MDR report key: 321116 · Received March 19, 2001

Report

Report Number
2020334-2001-00008
Event Type
Other
Date Received
March 19, 2001
Report Date
March 19, 2001
Manufacturer
SUNRISE MEDICAL/PCP DIVISION
Product Code
ITJ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE END USER FELL OVER AND ONTO THE WALKER. USER SUFFERED WITH TWO CRACKED RIBS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
12098 GUARDIAN WALKER PATIENT WALKER ITJ SUNRISE MEDICAL/PCP DIVISION 30755P NA

Patients

Seq Age Sex Outcome Treatment
1 56 YR Other