FDA Adverse Event
Summary report: N
CRUTCH
MDR report key: 3941493
·
Received July 17, 2014
Report
- Report Number
- 1531186-2014-02582
- Date Received
- July 17, 2014
- Report Date
- June 10, 2014
- Manufacturer
- HEALTH PLUS HEALTH & MEDICAL
- Product Code
- IPR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- HOSPITAL SERVICE TECHNICIAN
Narratives
Description of Event or Problem · 1
CUSTOMER ALLEGED THAT THE UNIT HAS A BROKEN WING NUT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 418418 | CRUTCH | 890.3150 | IPR | HEALTH PLUS HEALTH & MEDICAL | 8115 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |