BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3886911 · Received June 20, 2014

    Report

    Report Number
    1531186-2014-02206
    Date Received
    June 20, 2014
    Report Date
    May 21, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER END USER THE CASTER IS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    363461 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65350GR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other