BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3131646 · Received May 29, 2013

    Report

    Report Number
    1531186-2013-02332
    Date Received
    May 29, 2013
    Report Date
    November 12, 2012
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). COMPLAINT WAS NOT GIVEN TO REGULATORY AFFAIRS FROM CUSTOMER SERVICE FOR PROCESSING UNTIL ((B)(4) 2013). POTENTIAL FOR INJURY ASSOCIATED WITH A 65650R ROLLATOR WITH A BENT WHEEL. THIS COULD CAUSE INSTABILITY WITH THE PRODUCT AND POTENTIAL FOR END USER TO FALL.

    Description of Event or Problem · 1

    THE INSIDE SALES REP HAS ADVISED THAT THE WHEEL WAS BENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    237316 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other