BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3822157 · Received May 20, 2014

    Report

    Report Number
    1531186-2014-01884
    Date Received
    May 20, 2014
    Date of Event
    November 1, 2013
    Report Date
    January 10, 2014
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE SEAT ON A 65851R ROLLATOR HAS CRACKED. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    299906 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ DANYANG MAXTHAI MEDICAL EQUIPMENT

    Patients

    Seq Age Sex Outcome Treatment
    1 60 MO Other