BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4094194 · Received September 16, 2014

    Report

    Report Number
    1531186-2014-04182
    Date Received
    September 16, 2014
    Report Date
    August 25, 2014
    Manufacturer
    GENTEEL HOMECARE PRODUCTS
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER ALLEGES THE 6300-JRA WALKER HAS A MISSING PIN BY THE RELEASE MECHANISM CAUSING IT TO FREE SPIN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    573753 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL HOMECARE PRODUCTS 6300-JRA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other