BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4048390 · Received August 29, 2014

    Report

    Report Number
    1531186-2014-03689
    Date Received
    August 29, 2014
    Date of Event
    August 5, 2014
    Report Date
    August 5, 2014
    Manufacturer
    MAXTHAI - MX - E. CHINA DO NOT USE AS OEM
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER THE DEALER, THE RIGHT SIDE HANDLE IS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    529494 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ MAXTHAI - MX - E. CHINA DO NOT USE AS OEM 65650R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other