inforMED
InjuryITJ

DRIVE DEVILBISS HEALTHCARE NITRO SPRINT ROLLATO

Received Oct 15, 2025 · Event occurred Aug 26, 2025

Report 3007309323-2025-00048 · MDR key 23290261

Device

Generic name

Drive Devilbiss Healthcare Nitro Sprint Rollato

Model number

102662BL-T

Catalog number

102662BL-T

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

96 YR · Male

  • Bruise/Contusion
  • Damage to Ligament(s)
  • Bruise/Contusion
  • Damage to Ligament(s)

Narrative

Description of Event or Problem

DRIVE DEVILBISS HEALTHCARE WAS NOTIFIED OF AN INCIDENT INVOLVING A ROLLATOR BY THE END USER'S DAUGHTER WHO STATED THAT THE FRONT RIGHT FORK ASSEMBLY CAME OUT WHILE IN USE CAUSING THE END USER TO FALL. THE END USER WENT TO THE EMERGENCY ROOM AND WAS DIAGNOSED WITH A SPRAINED WRIST, BRUISED SHOULDER AND A BUMP ON THE HEAD. AS PART OF ITS COMPLAINT REVIEW AND EVALUATION PROCESS, DRIVE DEVILBISS HEALTHCARE WILL ALSO NOTIFY THE MANUFACTURER OF THE PRODUCT ABOUT THIS COMPLAINT.

Remedial action

  • Repair
  • Inspection