FDA Adverse Event
Malfunction
Summary report: N
MECHANICAL WALKER, ROLLATOR
MDR report key: 3232206
·
Received October 4, 2012
Report
- Report Number
- 1000282279-2012-00026
- Event Type
- Malfunction
- Date Received
- October 4, 2012
- Report Date
- October 4, 2012
- Manufacturer
- FOSHAN R. POON MEDICAL PRODUCTS CO., LTD.
- Product Code
- ITJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE CUSTOMER ALLEGED THAT A FRONT WHEEL OF HIS 66550 BARIATRIC ROLLATOR HAS BROKEN. NO INJURY WAS REPORTED. REF (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MECHANICAL WALKER, ROLLATOR | ROLLATOR | ITJ | FOSHAN R. POON MEDICAL PRODUCTS CO., LTD. | 66550 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |