BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3103308 · Received May 9, 2013

    Report

    Report Number
    1531186-2013-01971
    Date Received
    May 9, 2013
    Date of Event
    March 5, 2013
    Report Date
    April 12, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    ALLEGEDLY BRAKES BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    204367 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other