BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3013625 · Received March 20, 2013

    Report

    Report Number
    1531186-2013-01150
    Date Received
    March 20, 2013
    Report Date
    February 20, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER REPORTED THAT THE RIGHT SIDE BRAKE ON HER ROLLATOR BROKE AS SHE PUSHED DOWN ON IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    116345 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other