BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3123258 · Received May 21, 2013

    Report

    Report Number
    1531186-2013-02208
    Date Received
    May 21, 2013
    Report Date
    April 24, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE DEALER HAS REPORTED THAT THE FRONT LEG IS BROKEN ABOVE THE CASTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    224472 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other