BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4191737 · Received October 22, 2014

    Report

    Report Number
    1531186-2014-04996
    Date Received
    October 22, 2014
    Report Date
    October 1, 2014
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER REPORTS THAT THE BRAKES ARE NOT USING, PURCHASED UNIT IN 2012.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    671697 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other