FDA Adverse Event Summary report: N

MECHANICAL WALKER, ROLLATOR

MDR report key: 3981235 · Received August 5, 2014

Report

Report Number
1531186-2014-02999
Date Received
August 5, 2014
Date of Event
May 30, 2014
Report Date
June 20, 2014
Manufacturer
UNKNOWN
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

DEALER STATES OUT OF BOX WHEEL LOCKS RUBBING WHEELS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
457738 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650

Patients

Seq Age Sex Outcome Treatment
1 Other