BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3980768 · Received August 5, 2014

    Report

    Report Number
    1531186-2014-02988
    Date Received
    August 5, 2014
    Report Date
    July 3, 2014
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    END USER SPOUSE STATES THAT THE FRAME BENT AT THE WELD, NEAR THE WHEELS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    457962 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65650R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other