BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3901989 · Received June 30, 2014

    Report

    Report Number
    1531186-2014-02292
    Date Received
    June 30, 2014
    Date of Event
    May 23, 2014
    Report Date
    May 28, 2014
    Manufacturer
    KENSTONE METAL
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER ALLEGES THAT THE BRAKE CABLE BROKE INSIDE OF THE HANDLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    380974 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ KENSTONE METAL 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other