BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 3984348 · Received August 6, 2014

    Report

    Report Number
    1531186-2014-03020
    Date Received
    August 6, 2014
    Date of Event
    June 20, 2014
    Report Date
    June 20, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES RIGHT SIDE FOLDING MECHANISM IS DEFECTIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    461846 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6240-A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other