BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2760031 · Received September 26, 2012

    Report

    Report Number
    1531186-2012-01024
    Date Received
    September 26, 2012
    Report Date
    September 25, 2012
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER CALLED STATING THAT THE RELEASE MECHANISM ON THE 6240-A ADULT WALKER HAS ALLEGEDLY SNAPPED OFF. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6240-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other