BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2923533 · Received January 22, 2013

    Report

    Report Number
    1531186-2013-00256
    Event Type
    Malfunction
    Date Received
    January 22, 2013
    Report Date
    January 19, 2013
    Manufacturer
    GENTEEL HOMECARE PRODUCTS
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES LOWER LEFT SIDE FRAME BROKEN AT WELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    30265 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL HOMECARE PRODUCTS 65100 GT080901

    Patients

    Seq Age Sex Outcome Treatment
    1 Other