BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ADULT JUNIOR WALKLITE WALKER 9153643783

    MDR report key: 4501875 · Received February 10, 2015

    Report

    Report Number
    1531186-2015-00890
    Event Type
    Malfunction
    Date Received
    February 10, 2015
    Date of Event
    January 27, 2015
    Report Date
    February 3, 2015
    Manufacturer
    GENTEEL HOMECARE PRODUCTS
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER REPORTED THAT THE SEAT ON A 6300-JRA CRACKED THEN BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    99768 ADULT JUNIOR WALKLITE WALKER 9153643783 WALKER, MECHANICAL ITJ GENTEEL HOMECARE PRODUCTS 6300-JRA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other