BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4040167 · Received August 27, 2014

    Report

    Report Number
    1531186-2014-03546
    Date Received
    August 27, 2014
    Date of Event
    July 10, 2014
    Report Date
    July 31, 2014
    Manufacturer
    CONSMA - CK - E. CHINA
    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

    DEALER CALLED IN AND STATED THAT THE BRAKES ARE NOT GRASPING THE WHEELS IN ORDER TO STOP THEM. DEALER STATED THERE WERE NO INJURIES ASSOCIATED WITH THE INCIDENT

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    521095 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA - CK - E. CHINA 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other