BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3884005 · Received June 19, 2014

    Report

    Report Number
    1531186-2014-02169
    Date Received
    June 19, 2014
    Report Date
    May 20, 2014
    Manufacturer
    PINGHU WEIFENG MATERIAL TECHNOLOGY
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER ALLEGES A 91-2 SHOWER CHAIR IS BENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    361015 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ PINGHU WEIFENG MATERIAL TECHNOLOGY 91-2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other