BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3933939 · Received July 15, 2014

    Report

    Report Number
    1525712-2014-03634
    Event Type
    Malfunction
    Date Received
    July 15, 2014
    Report Date
    June 6, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER DEALER THE GLIDE TIPS WEAR OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    412847 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6291-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other