BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4220611 · Received November 3, 2014

    Report

    Report Number
    1531186-2014-05297
    Date Received
    November 3, 2014
    Date of Event
    October 9, 2014
    Report Date
    October 13, 2014
    Manufacturer
    CONSMA
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGES THE CUSTOMER REPORTED THAT WHILE ROLLING OVER DOOR FRAME ONE OF THE FOLDING CROSS BARS SNAPPED IN HALF ON A 65650 ROLLATOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    703982 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ CONSMA 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other