BEUDAMED
    FDA Adverse Event Other Summary report: N

    WALKER, ADLT, 2 BUTTON W/5" FI

    MDR report key: 327666 · Received April 13, 2001

    Report

    Report Number
    1417592-2001-00009
    Event Type
    Other
    Date Received
    April 13, 2001
    Report Date
    April 12, 2001
    Manufacturer
    MEDLINE INDUSTRIES, INC.
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    REPORTEDLY, THE LEFT SIDE OF THE WALKER DOES NOT LOCK, AND THE PT FELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    17031 WALKER, ADLT, 2 BUTTON W/5" FI * ITJ MEDLINE INDUSTRIES, INC. MDS86410W5 *

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN