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
Manufacturer
Zhenjiang Assure Medical Equipment Co LtdModel number
102662BL-TCatalog 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