BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4111294 · Received September 23, 2014

    Report

    Report Number
    1531186-2014-04370
    Date Received
    September 23, 2014
    Date of Event
    August 27, 2014
    Report Date
    August 27, 2014
    Manufacturer
    UNKNOWN
    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

    PROVIDER RECEIVED A CALL FROM CONSUMER WHO STATES THAT SOMETHING WAS WRONG WITH THE REAR LEG EXTENSIONS ON THIS WALKER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    589434 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6291-5F

    Patients

    Seq Age Sex Outcome Treatment
    1 Other