BEUDAMED
    FDA Adverse Event Other Summary report: N

    GUARDIAN WALKER

    MDR report key: 404317 · Received July 12, 2002

    Report

    Report Number
    2020334-2002-00006
    Event Type
    Other
    Date Received
    July 12, 2002
    Date of Event
    May 28, 2002
    Report Date
    July 12, 2002
    Manufacturer
    SUNRISE MEDICAL, PCP DIVISION
    Product Code
    ITJ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE END USER HAD TAKEN THREE STEPS WITH THE WALKER, WHEN THE WALKER BROKE, CAUSING THEM TO FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GUARDIAN WALKER WALKER ITJ SUNRISE MEDICAL, PCP DIVISION 30755P NA

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Other