BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3970370 · Received July 31, 2014

    Report

    Report Number
    1531186-2014-02919
    Date Received
    July 31, 2014
    Report Date
    June 25, 2014
    Manufacturer
    MAXTHAI
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE BRAKE HANDLES WILL ENGAGE, BUT THE BRAKES WILL NOT CATCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    447518 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ MAXTHAI 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other