BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FEATHERLIGHT WALKER

    MDR report key: 3952180 · Received July 18, 2014

    Report

    Report Number
    1056127-2014-00012
    Event Type
    Injury
    Date Received
    July 18, 2014
    Date of Event
    April 1, 2013
    Report Date
    July 8, 2014
    Manufacturer
    PINGHU ASPEL TECHNOLOGY CORP.
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS SEATED AND BEING PUSHED ON A FOUR WHEELED WALKER IN A RETAIL STORE WHEN THE FRONT WHEELS GOT CAUGHT IN THE FLOOR AT THE GATE TO THE MALL WHICH SEPARATES THE STORE FROM THE MALL. SHE WAS THROWN FROM THE SEAT OF THE WALKER AND SUFFERED A HEAD INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    423362 FEATHERLIGHT WALKER ROLLATOR ITJ PINGHU ASPEL TECHNOLOGY CORP. LR-200FBD

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Required Intervention