BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4151282 · Received October 8, 2014

    Report

    Report Number
    1531186-2014-04780
    Date Received
    October 8, 2014
    Report Date
    September 19, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER ALLEGED THAT THE SPOKES ARE CRACKED ON WHEELS, NO INJURY, DEALER COULD NOT PROVIDE ANY FURTHER INFORMATION...(B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    633106 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 6240-5F

    Patients

    Seq Age Sex Outcome Treatment
    1 Other