BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3913041 · Received July 3, 2014

    Report

    Report Number
    1531186-2014-02373
    Date Received
    July 3, 2014
    Report Date
    June 2, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER, END USER ADVISED THE LEG WILL NOT LOCK DUE TO SNAP BUTTON ON THE LEG BROKE OFF, NO FURTHER INFORMATION WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    391058 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6291-JR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other