BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3103478 · Received May 9, 2013

    Report

    Report Number
    1531186-2013-01981
    Date Received
    May 9, 2013
    Report Date
    April 15, 2013
    Manufacturer
    GENTEEL HOMECARE PRODUCTS
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES THAT HIS 6191 WALKER IS VERY RICKETY AND WIGGLES BACK AND FORTH ON THE LEFT SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    204322 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL HOMECARE PRODUCTS 6291-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other