BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3965186 · Received July 29, 2014

    Report

    Report Number
    1531186-2014-02857
    Date Received
    July 29, 2014
    Date of Event
    June 11, 2014
    Report Date
    June 18, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER, CONSUMER STATES THAT ONE SIDE OF THE WALKER THE DUAL RELEASE PADDLE IS BROKEN THEREFORE IT WILL NO LONGER LOCK INTO PLACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    440732 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6291-3F

    Patients

    Seq Age Sex Outcome Treatment
    1 Other