BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3140953 · Received June 3, 2013

    Report

    Report Number
    1531186-2013-02389
    Date Received
    June 3, 2013
    Report Date
    May 3, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OK, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE WALKER LEG CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    244386 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6240-5F

    Patients

    Seq Age Sex Outcome Treatment
    1 Other