BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3203067 · Received July 2, 2013

    Report

    Report Number
    1531186-2013-02925
    Date Received
    July 2, 2013
    Report Date
    June 10, 2013
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES ON THE 65350GR ROLLATOR THAT THE RIGHT BRAKE HANDLE IS BROKEN AND MISSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    301199 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65350GR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other