BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4090168 · Received September 15, 2014

    Report

    Report Number
    1531186-2014-04118
    Date Received
    September 15, 2014
    Date of Event
    August 9, 2014
    Report Date
    August 27, 2014
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    END USER REPORTED THAT WHEN SHE WAS NAVIGATING HER 65350GR ROLLATOR OUT OF HER DOOR, SHE FELL DOWN THE STEPS. SHE WAS BRUISED AND SORE, MEDICAL ATTENTION ALLEGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    568546 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65350GR

    Patients

    Seq Age Sex Outcome Treatment
    1 88 MO Other