BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4121763 · Received September 26, 2014

    Report

    Report Number
    1525712-2014-06350
    Event Type
    Malfunction
    Date Received
    September 26, 2014
    Date of Event
    August 25, 2014
    Report Date
    September 4, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    NURSE ADVISED BOTH BRAKES DO NOT APPLY TO THE WHEELS 100 PERCENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    602169 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN SELFCARE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other