BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4131424 · Received October 1, 2014

    Report

    Report Number
    1531186-2014-04605
    Date Received
    October 1, 2014
    Report Date
    September 12, 2014
    Manufacturer
    DOLOMITE AB
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    RIGHT HAND BRAKE NOT HOLDING, PER DEALER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    611776 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ DOLOMITE AB JAZZLOW

    Patients

    Seq Age Sex Outcome Treatment
    1 Other