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