MECHANICAL WALKER, ROLLATOR

Report

• Report Number: 1531186-2012-01529
• Date Received: November 29, 2012
• Report Date: November 29, 2012
• Manufacturer: CONSMA
• Product Code: ITJ
• Product Problem: Yes
• Report Source: Manufacturer report
• Reporter Location: WA, US
• Reporter Occupation: MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

ON (B)(6) 2012. THE DEALER REPORTED THAT THE 65851B ROLLATOR SEAT WAS BENT ONE INCH ON EACH SIDE RESULTING IN THE SEAT TO BE BOWED. THERE WAS NO PATIENT INJURY REPORTED.

Devices

Seq	Brand	Generic	Product Code	Manufacturer	Model	Lot	UDI-DI
1	MECHANICAL WALKER, ROLLATOR	890.3825	ITJ	CONSMA	65851B

Patients

Seq	Age	Sex	Outcome	Treatment
1			Other

Terms

Patient problem · 1

• No Consequences Or Impact To Patient

Product problems · 1

• Bent

Source type · 1

• Invalid data

Type of report · 1

• Initial submission