BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3163556 · Received June 11, 2013

    Report

    Report Number
    1531186-2013-02539
    Date Received
    June 11, 2013
    Report Date
    May 15, 2013
    Manufacturer
    HEALTHPLUS
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE BLUE RELEASE MECHANISM IS NOT WORKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    264503 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ HEALTHPLUS 6240-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other