GUARDIAN ENVOY 380 GO7981TM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-05 for GUARDIAN ENVOY 380 GO7981TM manufactured by Medline Industries, Inc..

Event Text Entries

[182556271] We ordered the envoy 380 from healthcare supply from wheel walker vehicle but the screw fell out of the lead wheel making the appliance unusable to my (b)(6) y/o dad. We contacted the mfr and they sent another three wheeler. It was defective too as the back wheels were out of alignment. We contacted the company again and have not gotten anywhere with them over this matter. They do not allow phone conversation, only emails. Fda safety report id#. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093555
MDR Report Key9799850
Date Received2020-03-05
Date of Report2020-03-03
Date of Event2020-02-05
Date Added to Maude2020-03-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGUARDIAN ENVOY 380
Generic NameWALKER, MECHANICAL
Product CodeITJ
Date Received2020-03-05
Model NumberGO7981TM
Lot Number88519100003
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES, INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-05

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