BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3971451 · Received July 31, 2014

    Report

    Report Number
    1531186-2014-02929
    Date Received
    July 31, 2014
    Report Date
    June 26, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER STATED THAT THE RIGHT BRAKE WILL NO LONGER ENGAGE. RESULTING IN THE RIGHT CASTER ROLLING. END USER STATED THERE WERE NO INJURIES ASSOCIATED WITH THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    447363 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other