BEUDAMED
    FDA Adverse Event Other Summary report: N

    GUARDIAN WALKER

    MDR report key: 412190 · Received August 22, 2002

    Report

    Report Number
    2020334-2002-00007
    Event Type
    Other
    Date Received
    August 22, 2002
    Report Date
    August 22, 2002
    Manufacturer
    SUNRISE MEDICAL/PCP DIVISION
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE END USER WAS USING THE WALKER AT HOME, WHEN THE WALKER COLLAPSED.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Hospitalization| O