BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3200481 · Received July 1, 2013

    Report

    Report Number
    1531186-2013-02893
    Date Received
    July 1, 2013
    Report Date
    June 7, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES BROKEN AT THE CROSSBRACE WHERE IT OPENS UP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    299267 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6240-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other