BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3133623 · Received May 29, 2013

    Report

    Report Number
    1531186-2013-02353
    Date Received
    May 29, 2013
    Report Date
    January 4, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4).

    Description of Event or Problem · 1

    PROVIDER STATES BEARINGS CAME OUT OF REAR CASTER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    235937 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 66550

    Patients

    Seq Age Sex Outcome Treatment
    1 Other