FDA Adverse Event
Summary report: N
MECHANICAL WALKER, ROLLATOR
MDR report key: 3981198
·
Received August 5, 2014
Report
- Report Number
- 1531186-2014-02997
- Date Received
- August 5, 2014
- Date of Event
- July 26, 2014
- Report Date
- June 30, 2014
- Manufacturer
- UNKNOWN
- Product Code
- ITJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MS, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE WHEELS ARE NOT ALIGNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 457674 | MECHANICAL WALKER, ROLLATOR | 890.3825 | ITJ | UNKNOWN | 6441-A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |