BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3833629 · Received May 27, 2014

    Report

    Report Number
    1531186-2014-01981
    Date Received
    May 27, 2014
    Date of Event
    March 20, 2014
    Report Date
    March 28, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    THE END USER STATED THAT THE FRONT CASTER WHEELS ON A P429/2 ROLLATOR ARE STICKING WHICH CAUSED THE USER TO BE THROWN AGAINST A WALL. THE WALKER WAS OFF ITS WHEELS AND TURNED SIDEWAYS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    310291 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN P429/2

    Patients

    Seq Age Sex Outcome Treatment
    1 83 Other