BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4143734 · Received October 6, 2014

    Report

    Report Number
    1531186-2014-04712
    Date Received
    October 6, 2014
    Report Date
    September 17, 2014
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES, THE BOLT ON THE RIGHT SIDE THAT HOLDS THE FOLDING MECHANISM IN PLACE HAS STRIPPED OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    624682 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65350GR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other