BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3882096 · Received June 18, 2014

    Report

    Report Number
    1531186-2014-02163
    Date Received
    June 18, 2014
    Date of Event
    May 16, 2014
    Report Date
    May 19, 2014
    Manufacturer
    KENSTONE METAL
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGED THE LEFT CABLE BROKE WHERE IT ATTACHES TO THE HANDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    358567 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ KENSTONE METAL 65350GR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other