BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4093998 · Received September 16, 2014

    Report

    Report Number
    1531186-2014-04157
    Date Received
    September 16, 2014
    Report Date
    August 22, 2014
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    END USERS GRANDSON ALLEGED THAT THE CASTER SPLIT AND THE BEARINGS CAME OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    571175 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ DANYANG MAXTHAI MEDICAL EQUIPMENT 65350GR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other