BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3022085 · Received March 26, 2013

    Report

    Report Number
    1531186-2013-01296
    Date Received
    March 26, 2013
    Report Date
    February 27, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATED THE HANDBRAKE IS BROKEN, CONSUMER STATED THE DAUGHTER LEANED TO MUCH ON THE ROLLATOR AND SHE FELL OVER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    124545 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65500

    Patients

    Seq Age Sex Outcome Treatment
    1 Other