FDA Adverse Event Summary report: N

MECHANICAL WALKER, ROLLATOR

MDR report key: 4103033 · Received September 19, 2014

Report

Report Number
1531186-2014-04286
Date Received
September 19, 2014
Report Date
August 28, 2014
Manufacturer
GENTEEL HOMECARE PRODUCTS
Product Code
ITJ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(6) ALLEGES LEG WILL NOT LOCK INTO PLACE ON A 68100-TA ROLLATOR CAUSING IT TO SWIVEL BEYOND THE FRAME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
581727 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ GENTEEL HOMECARE PRODUCTS 68100-TA

Patients

Seq Age Sex Outcome Treatment
1 Other