BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3243245 · Received July 23, 2013

    Report

    Report Number
    1531186-2013-03331
    Date Received
    July 23, 2013
    Report Date
    July 3, 2013
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES END USER PURCHASED UNIT IN (B)(6) 2013 AND SEAT BROKE ON UNIT ALREADY. END-USER HAS SEEN DOCTOR OR HOSPITAL DUE TO THIS INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    343161 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other