BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2567993 · Received May 10, 2012

    Report

    Report Number
    1531186-2012-00234
    Date Received
    May 10, 2012
    Date of Event
    April 13, 2012
    Report Date
    May 9, 2012
    Manufacturer
    GENTEEL (MAXHEALTH)
    Product Code
    ITJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER ALLEGED THE LOCKS WOULDN'T CLICK INTO PLACE. MINOR INJURY ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL (MAXHEALTH) 6291-A

    Patients

    Seq Age Sex Outcome Treatment
    1 83 Hospitalization