FDA Adverse Event
Malfunction
Summary report: N
WALKER, DOBMITE LEGACY 600
MDR report key: 7999628
·
Received October 23, 2018
Report
- Report Number
- MW5080774
- Event Type
- Malfunction
- Date Received
- October 23, 2018
- Date of Event
- October 20, 2018
- Report Date
- October 21, 2018
- Manufacturer
- INVACARE CORPORATION
- Product Code
- ITJ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CA, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
THIS IS A WALKER, THE WHEEL BRACKET IS SOFT RUBBER AND FOLDS SIDEWAYS TIPPING THE WALKER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 838748 | WALKER, DOBMITE LEGACY 600 | WALKER MECHANICAL | ITJ | INVACARE CORPORATION | DOLOMITE LEGACY 600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR |