BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3260162 · Received August 1, 2013

    Report

    Report Number
    9616091-2013-01410
    Event Type
    Malfunction
    Date Received
    August 1, 2013
    Report Date
    July 18, 2013
    Manufacturer
    INVAMEX
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THE SNAP BUTTON ON THE 6291-HDA WALKER HAS BROKEN OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    360586 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ INVAMEX 6291-HDA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other