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Wheel Recall

SaskAbilities has been advised by Medline Canada Corporation of a product recall regarding the wheel component associated with folding walkers loaned by the program.

Please answer the following questions about your loaned equipment.

Walker Indentification #(Required)

(as found on recall notice letter)

Name

First Last

Phone Number(Required)

Shipping Address (No PO Box)(Required)

Street Address Address Line 2 City Province Postal Code

I prefer to receive communication from SaskAbilities by:(Required)

Phone

Email

Email address(Required)

I am in possession of the above noted walker.(Required)

Yes

No

The walker was returned to: (Please select below)(Required)

A SaskAbilities Special Needs Equipment depot

A health care facility

I have provided the walker to another individual

I am unsure as to the whereabouts of this walker

Please select a depot:(Required)

Prince Albert

Regina

Saskatoon

Swift Current

Yorkton

Name of health care facility:(Required)

I still require use of the above noted walker.(Required)

Yes

No

Please indicate your preference for returning the walker.(Required)

I will return the walker to a Special Needs Equipment depot

Please contact me to assist with arranging the return of this walker

Please select a depot:(Required)

Prince Albert

Regina

Saskatoon

Swift Current

Yorkton

The walker has wheels on the 2 front legs?(Required)

Yes

No

Recall Not Applicable(Required)

I agree with the determination and will not require replacement components.

The equipment you are using is not affected by the recall and no further action is required.

The wheels on my walker look like which of the wheel photos?(Required)

A

B

C

None of the images

Wheel A

Wheel B

Wheel C

Please locate the Lot # sticker.(Required)

Can be found at the top of the wheel assembly (See Photo)

I found a Lot # on one or both wheel assemblies

I am unable to find a sticker on either wheel assembly

Lot Sticker Example

Lot # 1(Required)

Lot # 2

Your walker may be subject to the recall. We will contact you using your chosen contact preference (above) to advise you of the next steps in the recall process.(Required)

I agree with the determination and will work through next steps.

Your equipment is subject to the recall and the wheels require replacement.(Required)

I would like to visit a depot for replacements

I would like replacement wheel assemblies shipped to me to the address provided above

Please select a depot:(Required)

Prince Albert – 1205 First Avenue East – 306-922-0225

Regina – #2 - 1723 Francis Street – 306-569-1262

Saskatoon - 2310 Louise Avenue - 306-664-6646

Swift Current - 1551 North Railway Street West, Entrance B - 833-526-5299

Yorkton - 144 Ball Road - 833-444-4126

Recall Not Applicable(Required)

I agree with the determination and will not require replacement components.

The equipment you are using is not affected by the recall and no further action is required.

Signature(Required)

Thank you.
If you have any questions, please do not hesitate to call 1-888-230-5414.

Recall administrative office:

2310 Louise Avenue
Saskatoon, SK

888.230.5414 wheelrecall@saskabilities.ca

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