InjuryIOR
CATALYST 5VX
Received Dec 19, 2022 · Event occurred Sep 18, 2022
Report 3005905321-2022-00002 · MDR key 16008567
Device
Product problems
- Insufficient Device Problem Information
- Insufficient Device Problem Information
Patient
Unknown
- Limb Fracture
- Limb Fracture
Narrative
Additional Manufacturer Narrative
AS OF THE FILING DATE, NO FURTHER INFORMATION HAS BEEN PROVIDED TO KI MOBILITY ON THE ALLEGED INJURY. IT CANNOT BE DETERMINED IF THE DEVICE CONTRIBUTED TO OR CAUSED THE ALLEGED EVENT. DUE TO THE SEVERITY OF THE INJURY, THIS REPORT IS BEING SUBMITTED. IF ANY FURTHER INFORMATION BECOMES AVAILABLE, A FOLLOW UP REPORT WILL BE SUBMITTED.
Description of Event or Problem
END USER WAS REACHING FORWARD FOR ITEM ON THE SHELF AT GOODWILL, HER CHAIR FELL FORWARD WITH HER IN IT. SHE HURT LEFT LEG FOLLOWED UP WITH HER DR. HAS COMPOUND FRACTURE BEING TREATED BY DR.