BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2771358 · Received October 4, 2012

    Report

    Report Number
    1531186-2012-01090
    Date Received
    October 4, 2012
    Report Date
    October 2, 2012
    Manufacturer
    DANYANG HUAYI MEDICAL SUPPLY&EQUIPMENT CO.,LTD
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    AN INITIAL REPORT WAS RECEIVED FROM A DEALER WHO REPORTED THE FOLLOWING INCIDENT: PUSH RELEASE BUTTON SNAPPED WENT TO RELEASE ARM AND THEN BROKE. NO REPORTED INJURY. ATTEMPTS WERE MADE TO CONTACT THE REPORTER FOR ADDITIONAL INFORMATION, HOWEVER, NO FURTHER INFORMATION HAS BEEN RECEIVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR DANYANG HUAYI MEDICAL SUPPLY&EQUIPMENT CO.,LTD TREX28R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other