FDA Adverse Event Summary report: N

MECHANICAL WALKER, ROLLATOR

MDR report key: 2880586 · Received December 19, 2012

Report

Report Number
1531186-2012-01807
Date Received
December 19, 2012
Date of Event
November 13, 2012
Report Date
December 19, 2012
Manufacturer
GOODBABY
Product Code
ITJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CONSUMER ALLEGES THAT THE BRACKET THAT HOLDS THE FRONT WHEEL IS BENDING. THE CONSUMER WAS NOT INJURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GOODBABY 67100

Patients

Seq Age Sex Outcome Treatment
1 Other