BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2940375 · Received February 2, 2013

    Report

    Report Number
    1531186-2013-00386
    Date Received
    February 2, 2013
    Date of Event
    December 26, 2012
    Report Date
    February 2, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(4) - IT WAS REPORTED BY THE CONSUMER THAT THE 6291-A WALKER WAS VEERING TO RIGHT. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    45606 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6291-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other