BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3020231 · Received March 25, 2013

    Report

    Report Number
    1531186-2013-01274
    Date Received
    March 25, 2013
    Report Date
    February 27, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) THE DEALER REPORTED THAT THE 6240-A WALKER WAS USING A 6027 PLATFORM ATTACHMENT ON THE UNIT, AND THE CROSSBAR WAS BENT. THERE WAS NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    121485 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6240-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other