FDA Adverse Event Malfunction Summary report: N

ADULT JUNIOR WALKLITE WALKER 9153643783

MDR report key: 4365573 · Received December 29, 2014

Report

Report Number
1531186-2014-06863
Event Type
Malfunction
Date Received
December 29, 2014
Report Date
November 13, 2014
Manufacturer
GENTEEL HOMECARE PRODUCTS
Product Code
ITJ
Product Problem
Yes
Report Source
Distributor report
Reporter Location
TX, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT HAS BEEN REPORTED BY A DEALER THAT A6300-JRA WALKER WON'T LOCK INTO PLACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
854131 ADULT JUNIOR WALKLITE WALKER 9153643783 WALKER, MECHANICAL ITJ GENTEEL HOMECARE PRODUCTS 6300-JRA

Patients

Seq Age Sex Outcome Treatment
1 Other