FDA Adverse Event Summary report: N

MECHANICAL WALKER, ROLLATOR

MDR report key: 2832664 · Received November 14, 2012

Report

Report Number
1531186-2012-01371
Date Received
November 14, 2012
Report Date
November 7, 2012
Manufacturer
GENTEEL HOMECARE PRODUCTS
Product Code
ITJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. CONSUMER ALLEGES THAT THE PUSH BUTTON FOR THE ADJUSTMENT ON THE LEFT FRONT LEG OF HIS WALKER IS BROKEN. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL HOMECARE PRODUCTS 6281

Patients

Seq Age Sex Outcome Treatment
1 Other