BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4060934 · Received September 4, 2014

    Report

    Report Number
    1531186-2014-03844
    Date Received
    September 4, 2014
    Date of Event
    July 25, 2014
    Report Date
    July 28, 2014
    Manufacturer
    CONSMA - CK - E. CHINA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER STATES THE BRAKE IS NOT WORKING. NO PATIENT INJURY ALLEGED, NO ADDITIONAL INFORMATION PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    541744 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA - CK - E. CHINA 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other