BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3081521 · Received April 29, 2013

    Report

    Report Number
    1531186-2013-01797
    Date Received
    April 29, 2013
    Report Date
    April 2, 2013
    Manufacturer
    JUNCHENG
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PROVIDER STATES THE RELEASE IS STICKING. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    185870 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ JUNCHENG 6240-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other