BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4213551 · Received October 30, 2014

    Report

    Report Number
    1531186-2014-05222
    Date Received
    October 30, 2014
    Report Date
    October 10, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE END USER STATES THE BRAKES ON THE ROLLATOR ARE GOING BAD. SHE STATES THE BRAKE PAD ON THE LEFT IS GONE AND THE RIGHT IS GOING. NO LOT NUMBER IS AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    694983 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other