BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2853711 · Received December 3, 2012

    Report

    Report Number
    1531186-2012-01583
    Date Received
    December 3, 2012
    Date of Event
    November 1, 2012
    Report Date
    November 1, 2012
    Manufacturer
    GENTEEL HOMECARE PRODUCTS
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    THE INCORRECT INFORMATION WAS SUBMITTED ON THE INITIAL MEDWATCH.

    Description of Event or Problem · 1

    PROVIDER STATES CASTER IS STRIPPED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL HOMECARE PRODUCTS UNKNOWN GT080519

    Patients

    Seq Age Sex Outcome Treatment
    1 Other