BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TALL ADULT WALKLITE WALKER 9153643781

    MDR report key: 4334639 · Received December 16, 2014

    Report

    Report Number
    3008262382-2014-02020
    Event Type
    Malfunction
    Date Received
    December 16, 2014
    Report Date
    October 28, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER CALLED TO REPORT THAT THE RELEASE MECHANISM IS BROKEN, AND THE WALKER WILL NOT FOLD. LOT KN070501.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    822129 TALL ADULT WALKLITE WALKER 9153643781 WALKER, MECHANICAL ITJ INVACARE REHABILITATION EQUIP 6300-ATA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other