BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADULT JUNIOR WALKLITE WALKER 9153643783

    MDR report key: 4371438 · Received December 30, 2014

    Report

    Report Number
    1531186-2014-07025
    Event Type
    Malfunction
    Date Received
    December 30, 2014
    Report Date
    December 8, 2014
    Manufacturer
    GENTEEL HOMECARE PRODUCTS
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE SEAT WAS BROKEN ON S 6300-JRA WALKER OUT OF BOX.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    857604 ADULT JUNIOR WALKLITE WALKER 9153643783 WALKER, MECHANICAL ITJ GENTEEL HOMECARE PRODUCTS 6300-JRA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other