BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2843924 · Received November 23, 2012

    Report

    Report Number
    1531186-2012-01450
    Date Received
    November 23, 2012
    Report Date
    November 23, 2012
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES LEFT SIDE WON'T HOLD. THE BRAKE IS NOT FUNCTIONING. THE REPORTER VOICED THAT NO INJURY OR HARM OCCURRED. A REPLACEMENT WAS SENT. PLEASE NOTE ANY FURTHER INFORMATION WILL BE SENT IN A FOLLOW UP REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ DANYANG MAXTHAI MEDICAL EQUIPMENT 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other