BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3243448 · Received July 23, 2013

    Report

    Report Number
    1531186-2013-03317
    Date Received
    July 23, 2013
    Date of Event
    June 14, 2013
    Report Date
    July 3, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A 65650 ROLLATOR HAD NON FUNCTIONAL BRAKES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    343362 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ DANYANG MAXTHAI MEDICAL EQUIPMENT 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other