BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2760043 · Received September 26, 2012

    Report

    Report Number
    1531186-2012-01023
    Date Received
    September 26, 2012
    Report Date
    September 25, 2012
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER CALLED STATING THAT HER V18RLR MANUAL WHEELCHAIR ALLEGEDLY VEERS TO THE LEFT WHEN PUSHING IT. THE TIRES ARE ALLEGEDLY GOING FLAT ALSO. CONSUMER HAS BEEN REFERRED BACK TO HER DEALER FOR WARRANTY REPAIRS. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V18RLR

    Patients

    Seq Age Sex Outcome Treatment
    1 34 MO Other