BEUDAMED
    FDA Adverse Event Other Summary report: N

    INVACARE WALKERS

    MDR report key: 545413 · Received September 17, 2004

    Report

    Report Number
    1525712-2004-00096
    Event Type
    Other
    Date Received
    September 17, 2004
    Date of Event
    October 6, 2003
    Report Date
    September 15, 2004
    Manufacturer
    INVACARE CORP.- PATIENT AIDS MANUFACTURING
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    CONTACT REPRESENTS A PT WHO ALLEGEDLY SUSTAINED BODILY INJURIES AS A RESULT OF THE ROLLATOR COLLASPING WHEN THEY SAT DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE WALKERS 890.3825 ITJ INVACARE CORP.- PATIENT AIDS MANUFACTURING 65500 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR Required Intervention