BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3123276 · Received May 21, 2013

    Report

    Report Number
    1531186-2013-02214
    Date Received
    May 21, 2013
    Report Date
    April 24, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    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
    224029 MECHANICAL WALKER, ROLLATOR 890.3825 IOR UNKNOWN 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other