FDA Adverse Event Injury Summary report: N

SAFE-T-WALKER BY GUARDIAN

MDR report key: 48008 · Received October 29, 1996

Report

Report Number
48008
Event Type
Injury
Date Received
October 29, 1996
Date of Event
October 23, 1996
Report Date
October 24, 1996
Manufacturer
GUARDIAN PRODUCTS CO, INC.
Product Code
ITJ
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
NE, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

PT WAS WALKING WITH WALKER AND FELL. FRACTURED HIP RESULTED. UNSURE OF REASON FOR FALL. DID FIND WALKER BENT AND SINCE POST FALL IT DOES NOT SET LEVEL ON THE FLOOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SAFE-T-WALKER BY GUARDIAN FOLDING WALKER WITH WHEELS ITJ GUARDIAN PRODUCTS CO, INC. 7722 *

Patients

Seq Age Sex Outcome Treatment
1 82 YR Hospitalization| S