BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3222256 · Received July 12, 2013

    Report

    Report Number
    1531186-2013-03109
    Date Received
    July 12, 2013
    Report Date
    June 19, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE PROVIDER REPORTED THE SIDE PIECE OF THE 6291-JR5F WALKER WILL NOT LOCK INTO PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    322855 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6291-JR5F

    Patients

    Seq Age Sex Outcome Treatment
    1 Other