BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4113019 · Received September 24, 2014

    Report

    Report Number
    1531186-2014-04388
    Date Received
    September 24, 2014
    Date of Event
    August 27, 2014
    Report Date
    September 3, 2014
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VT, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE BRAKE PAD ON BOTH SIDES HAS WORN AND NO LONGER TOUCHES THE WHEELS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    593341 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other