BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL WALKER, ROLLATOR

    MDR report key: 4242659 · Received November 11, 2014

    Report

    Report Number
    1531186-2014-05532
    Date Received
    November 11, 2014
    Report Date
    October 22, 2014
    Manufacturer
    UNKNOWN
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ADVISED THE SCREW IN BRAKE ASSEMBLY IS STRIPPED. DEALER HUNG UP WHILE CUSTOMER SERVICE REPRESENTATIVE TRANSFERRING. CUSTOMER SERVICE REPRESENTATIVE PROVIDED INFORMATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    725772 MECHANICAL WALKER, ROLLATOR 890.3825 ITJ UNKNOWN 65650

    Patients

    Seq Age Sex Outcome Treatment
    1 Other