BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3877581 · Received June 17, 2014

    Report

    Report Number
    1531186-2014-02139
    Date Received
    June 17, 2014
    Report Date
    May 19, 2014
    Manufacturer
    HUASHI VEHICLE SEAT
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER LEFT BRAKE HANDLE IS BROKEN, CAUSING BRAKES NOT TO FUNCTION CORRECTLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    354708 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ HUASHI VEHICLE SEAT P429/2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other