BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 3914253 · Received July 3, 2014

    Report

    Report Number
    1531186-2014-02394
    Date Received
    July 3, 2014
    Report Date
    June 3, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IPR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THE PAIR OF JUNIOR CRUTCHES WING NUTS BROKE WHILE THE GRIP HEIGHTS WERE BEING ADJUSTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    391154 CRUTCH 890.3150 IPR UNKNOWN 8120-J

    Patients

    Seq Age Sex Outcome Treatment
    1 Other