HEMI WALKER, ADULT
Received Dec 14, 2021 · Event occurred Nov 17, 2021
Report 1423537-2021-00700 · MDR key 13005555
Device
Generic name
Walker, Mechanical
Manufacturer
Jan Mao Industries Co. Ltd.Model number
CWAL1028H~TPMECCCatalog number
CWAL1028H~TPMECC
Lot number
8400012019-5H-2005
Product problems
- Adverse Event Without Identified Device or Use Problem
- Adverse Event Without Identified Device or Use Problem
Patient
Male
- Fall
- Fall
Narrative
Additional Manufacturer Narrative
THE COMPLAINT WAS FORWARDED TO THE MANUFACTURING FACILITY WHERE IT IS CURRENTLY STILL UNDER INVESTIGATION. A FOLLOW-UP REPORT WILL BE FILED ONCE THE RESULTS HAVE BEEN COMPLETED.
Description of Event or Problem
CONSUMER REPORTED CONCERN THAT RIVETS CAME LOOSE AS THE WALKER POPPED AND CAME APART. HE ALLEGEDLY INJURED HIMSELF WHILE USING THE HAMMY WALKER ON A HIKING TRAIL. CONSUMER REPORTEDLY TUMBLED DOWN FROM THE TRAIL AND FRACTURED HIS FINGER AND LEFT LEG AND BROKE THREE TEETH.
Additional Manufacturer Narrative
SUPPLEMENTAL REPORT IS BEING FILED SINCE INVESTIGATION HAS BEEN COMPLETED AND DUE TO CORRECTION OF THE PRODUCT NUMBER IN SECTION D4. THE PRODUCT NUMBER ON THE ORIGINAL REPORT WAS CWAL1028HR, BUT THE CUSTOMER REPORTED THE ACTUAL PRODUCT NUMBER MATCHING THE LOT NUMBER IS CWAL1028H. BASED ON SUPPLIER INVESTIGATION, LOT NUMBER 8400012019-SH WAS SHIPPED IN MAY 2020. THE DEVICE HISTORY RECORD(DHR) REVIEW DID NOT INDICATE ANY EXCEPTION THAT COULD LEAD TO THE REPORTED INCIDENT. THE EVENT DEVICE WAS NOT RETURNED FOR INVESTIGATION. ADDITIONAL REVIEW OF THE DHR, REVEALED NO ISSUES WERE DETECTED DURING PRODUCTION AND INSPECTION. REVIEW OF THE DEVICE MASTER RECORD REVEALED THERE WAS NO CHANGE TO DESIGN, PRODUCTION PROCESS, AS WELL AS THE RELATED MATERIALS. THE FOUR RIVETS PORTION OF THE WALKER HAVE A TUBE INSERTED INSIDE OF EACH MAIN TUBE TO INCREASE THE STRENGTH OF THE FOUR RIVETS PORTION. BASED ON THE COMPLAINT DESCRIPTION, THE CUSTOMER WAS CONCERNED THE RIVETS CAME LOOSE AS THE WALKER POPPED AND CAME APART. THE SUPPLIER WAS NOT ABLE TO ASSESS WHETHER THE USER FOUND ANY SPECIFIC ABNORMAL ISSUE WITH THE WALKER, OR ANY SPECIAL REASON TO CAUSE THE REPORTED CONCERN. ACCORDING TO THE IFU WHICH MENTIONED / WARNING, ALL FOUR LEGS OF THE HEMI WALKER MUST BE ADJUSTED TO AN EQUAL HEIGHT SO THAT IT SITS LEVEL BEFORE USING. ADDITIONALLY, USER SHOULD ALSO WATCH OUT FOR POTENTIAL SAFETY HAZARDS INCLUDING SLIPPERY, UNEVEN, OR SOFT SURFACES AND OBJECTS IN THE WALKING PATH. SUPPLIER WAS NOT ABLE TO DETERMINE IF THE CUSTOMER'S REPORTED ISSUE OCCURRED BECAUSE THE HIKING TRAIL WAS UNEVEN, IMPROPER USE OF THE WALKER, OR JUST AN ACCIDENT. THE FAILURE COULD NOT BE CONFIRMED, AND THE ROOT CAUSE COULD NOT BE DETERMINED FROM THIS INVESTIGATION. THE COMPLAINT INFORMATION WAS SHARED WITH THE RELEVANT SECTORS FOR THEIR AWARENESS. THE SUPPLIER WILL CONTINUE TO MONITOR THE TRENDS FOR THIS TYPE OF INCIDENT.