FDA Adverse Event
Summary report: N
MECHANICAL WALKER, ROLLATOR
MDR report key: 3083583
·
Received April 29, 2013
Report
- Report Number
- 1531186-2013-01815
- Date Received
- April 29, 2013
- Report Date
- April 3, 2013
- Manufacturer
- CONSMA
- Product Code
- ITJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
PER CONSUMER THE BRAKE WOULD NO STOP AND FELL OVER WAS NOT HURT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 185211 | MECHANICAL WALKER, ROLLATOR | 890.3825 | ITJ | CONSMA | 65851R |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 56 | Other |