BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3954813 · Received July 24, 2014

    Report

    Report Number
    1531186-2014-02760
    Date Received
    July 24, 2014
    Date of Event
    June 17, 2014
    Report Date
    June 18, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    END USER REPORTED THAT THE BARREL CAME OFF THE END OF THE RIGHT BRAKE CABLE ON THE TOP, NO INJURY. END USER COULD NOT PROVIDE ANY FURTHER INFORMATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    433622 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other