BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4008141 · Received August 14, 2014

    Report

    Report Number
    1531186-2014-03203
    Date Received
    August 14, 2014
    Report Date
    July 14, 2014
    Manufacturer
    MAXTHAI - MX - E. CHINA
    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

    PER PROVIDER, THE SEAT ON ROLLATOR 65851R HAS BROKEN IN HALF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    485513 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ MAXTHAI - MX - E. CHINA 65851R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other