BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2872929 · Received December 13, 2012

    Report

    Report Number
    1531186-2012-01731
    Date Received
    December 13, 2012
    Date of Event
    November 12, 2012
    Report Date
    December 13, 2012
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    A REPORT WAS RECEIVED ON A CRACKED HANDLE AND BROKE. THE REPORTER HAS BEEN CONTACTED AND IT WAS LEARNED THE INCIDENT IS REGARDING THE BRAKE. NO INJURY OCCURRED.

    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