inforMED
InjuryNXE

DRIVER MEDICAL

Received Aug 10, 2007 · Event occurred Jul 11, 2007

Report 2438477-2007-00002 · MDR key 893206

Device

Generic name

Rollator

Model number

NA

Catalog number

10209RD-1

Lot number

NA

Product problems

  • Detachment Of Device Component
  • Component Falling

Patient

90 YR

  • Dural Tear
  • Fall
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

THE USER ALLEGEDLY WAS TRYING TO SIT ON THE ROLLATOR TO TEST THE PRODUCT WHEN THE LEFT CASTER FELL OUT. SHE CONSEQUENTLY FELL BACKWARDS SUSTAINING SEVERE CUTS ON THE RIGHT CALF AND RIGHT ELBOW. MEDICAL ATTENTION WAS REQUIRED.

Additional Manufacturer Narrative

ALL OUR ROLLATORS ARE DISTRIBUTED WITH ALL CASTERS PREINSTALLED. THE FRONT CASTER FORK IS INSTALLED TO THE FRAME BY AN AXLE BOLT AND LOCK WASHER. ACCORDING TO CUSTOMER, THIS ROLLATOR HAD BEEN USED FOR DEMONSTRATION IN SHOWROOMS FOR MORE THAN TWO YRS. IT APPEARED THAT THE WHEEL CAME LOOSE DUE TO LACK OF MAINTENANCE.