BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ROLLITE ROLLATOR 9153637242

    MDR report key: 4371329 · Received December 30, 2014

    Report

    Report Number
    1531186-2014-07027
    Event Type
    Malfunction
    Date Received
    December 30, 2014
    Report Date
    December 8, 2014
    Manufacturer
    GENTEEL MEDICAL
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGES THE FRONT WHEEL IS LOCKING UP ON THIS 65100 ROLLATOR RIGHT SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    857285 ROLLITE ROLLATOR 9153637242 WALKER, MECHANICAL ITJ GENTEEL MEDICAL 65100

    Patients

    Seq Age Sex Outcome Treatment
    1 Other