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 |