BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 2940422 · Received February 3, 2013

    Report

    Report Number
    1531186-2013-00377
    Date Received
    February 3, 2013
    Report Date
    February 1, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) - IT WAS REPORTED BY THE FACILITY STAFF THAT THE 6240-5F WALKER LEG EXTENSIONS BUTTONS WERE COMING OUT AL THE WAY WHEN THE EXTENSIONS WERE REMOVED. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    45833 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6240-5F

    Patients

    Seq Age Sex Outcome Treatment
    1 Other