WRX276741V1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-02-13 for WRX276741V1 manufactured by Medline Industries Inc..

Event Text Entries

[186542432] It was reported that while walking up a handicap access ramp with a rollator, the right handle of the rollator "flew-out" to the right resulting in the end-user experiencing a fall to the ground. The end-user was able to get back to her feet with the assistance of two other individuals (her daughter and neighbor) with no immediate injury noted. Her daughter took the end-user to the emergency room later that day for evaluation. The end-user reports x-rays taken. End-user reports a surface cut to the left leg that required bandaging but no serious injuries. End-user released from the er without further treatment and instructed to follow-up with her primary care physician (pcp). Upon follow-up, the pcp confirmed she had experienced a scaphoid fracture of the right hand with no additional fractures noted. End-user states there is no treatment at this time for a scaphoid fracture. The walker has not been returned to the manufacturer for evaluation as of the date of this report. Due to the reported incident and in an abundance of caution this medwatch is being filed. If additional relevant information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[186542433] It was reported that while walking up a handicap access ramp with a rollator, the right handle of the rollator "flew-out" to the right resulting in the end-user experiencing a fall to the ground and a scaphoid fracture.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2020-00006
MDR Report Key9707646
Report SourceCONSUMER
Date Received2020-02-13
Date of Report2020-02-13
Date of Event2020-01-15
Date Mfgr Received2020-01-16
Date Added to Maude2020-02-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKAREN TRUTSCH
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD, IL
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameWALKER, BLUE, FOLDING, W/WHEELS, WAGS PL
Product CodeITJ
Date Received2020-02-13
Catalog NumberWRX276741V1
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD, IL US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-13

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