BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    GUARDIAN ROLLING WALKER

    MDR report key: 1032748 · Received April 18, 2008

    Report

    Report Number
    3006459587-2008-00009
    Event Type
    Malfunction
    Date Received
    April 18, 2008
    Date of Event
    March 26, 2008
    Report Date
    April 9, 2008
    Manufacturer
    A&E
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MI, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE THREADS OF THE LEG FOR THE FRONT CASTER WHEEL WERE STRIPPED. NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 GUARDIAN ROLLING WALKER FOLDING WALKER ITJ A&E 07889T *

    Patients

    Seq Age Sex Outcome Treatment
    1 *