BEUDAMED
    FDA Adverse Event Summary report: N

    CRUTCH

    MDR report key: 4101411 · Received September 19, 2014

    Report

    Report Number
    1531186-2014-04278
    Date Received
    September 19, 2014
    Report Date
    August 27, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IPR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGED THAT THE HAND GRIPS CRUMBLED APART.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    582101 CRUTCH 890.3150 IPR UNKNOWN 8120-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other