BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WALKER

    MDR report key: 3212673 · Received July 1, 2013

    Report

    Report Number
    MW5030780
    Event Type
    Malfunction
    Date Received
    July 1, 2013
    Date of Event
    June 27, 2013
    Report Date
    July 1, 2013
    Manufacturer
    ANDERSON MEDICAL
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    CLIENT'S WALKER IS BROKEN, DOES NOT LOCK OR UNLOCK, CLIENT HAS SKIN TEAR ON RIGHT HAND. DATE OF USE: 2010-2013. DIAGNOSIS OR REASON FOR USE: BACK PAIN, RHEUMATOID ARTHRITIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    299531 WALKER ITJ ANDERSON MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 87 YR