BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3832506 · Received May 27, 2014

    Report

    Report Number
    1531186-2014-01967
    Date Received
    May 27, 2014
    Date of Event
    April 8, 2014
    Report Date
    April 14, 2014
    Manufacturer
    JUNCHENG
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(4) WALKER FRAME BENT AT THE CROSS BRACE CAUSING END USER TO FALL. NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    311318 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ JUNCHENG 6240-5F

    Patients

    Seq Age Sex Outcome Treatment
    1 94 MO Other