FDA Adverse Event Summary report: N

MECHANICAL WALKER, ROLLATOR

MDR report key: 3771759 · Received April 24, 2014

Report

Report Number
1531186-2014-01527
Date Received
April 24, 2014
Report Date
March 24, 2014
Manufacturer
GENTEEL HOMECARE PRODUCTS
Product Code
ITJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATED THAT THE RIGHT BRAKE ON A 65100 ROLLATOR WILL NOT LOCK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
250013 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL HOMECARE PRODUCTS 65100

Patients

Seq Age Sex Outcome Treatment
1 Other