BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ROLLATOR WALKER

    MDR report key: 9193289 · Received October 11, 2019

    Report

    Report Number
    MW5090395
    Event Type
    Injury
    Date Received
    October 11, 2019
    Date of Event
    July 26, 2019
    Report Date
    October 11, 2019
    Manufacturer
    NOVA ORTHO-MED, INC.
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    REPORTER STATED THAT SHE WAS TRYING TO GO TO THE LIVING ROOM IN HER APARTMENT USING A ROLLATOR AND THE ARM BROKE AND SHE FELL DOWN ON THE FLOOR. AS A RESULT, HER FAKE HIP RAMMED THROUGH HER PELVIS. REPORTER STATED SHE WAS TAKEN TO THE TRAUMA CENTER TO HAVE SURGERY TO FIX THE PROBLEM. HOWEVER, THE DRS COULD NOT PULL IT BACK SO THEY LEFT IT THE WAY IT WAS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    972032 ROLLATOR WALKER WALKER, MECHANICAL ITJ NOVA ORTHO-MED, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Hospitalization