FDA Adverse Event
Summary report: N
MECHANICAL WALKER, ROLLATOR
MDR report key: 3123068
·
Received May 21, 2013
Report
- Report Number
- 1531186-2013-02182
- Date Received
- May 21, 2013
- Report Date
- April 25, 2013
- Manufacturer
- JUNCHENG
- Product Code
- ITJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CONSUMER STATES LOCKING MECHANISM IS BROKEN THAT OPENS AND CLOSES WALKER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 224851 | MECHANICAL WALKER, ROLLATOR | 890.3825 | ITJ | JUNCHENG | 6240-5F |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 96 | Other |