BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3160615 · Received June 10, 2013

    Report

    Report Number
    1531186-2013-02519
    Date Received
    June 10, 2013
    Report Date
    May 14, 2013
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER STATED THE SEAT IS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    260235 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65851R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other