BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 3983629 · Received August 6, 2014

    Report

    Report Number
    1531186-2014-03014
    Date Received
    August 6, 2014
    Report Date
    June 26, 2014
    Manufacturer
    HEALTHPLUS
    Product Code
    IPR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT PART OF THE HANDRIP ON THE (B)(4) CRUTCH BROKE, THE TUBE IS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    462052 CRUTCH 890.3150 IPR HEALTHPLUS 8115-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other