BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 3241550 · Received July 22, 2013

    Report

    Report Number
    1531186-2013-03299
    Date Received
    July 22, 2013
    Report Date
    July 1, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IPR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    THE END USER WAS WALKING WITH CRUTCHES, COMING OUT OF THE BATHROOM, THE RIGHT CRUTCH SNAPPED AND GAVE WAY SENT HER LANDING ON HER FACE AND FOOT THAT SHE HAD JUST HAD SURGERY ON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    339992 CRUTCH 890.3150 IPR UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 32 Other