FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 2771554 · Received October 4, 2012

Report

Report Number
1531186-2012-01101
Date Received
October 4, 2012
Report Date
October 3, 2012
Manufacturer
ANI [ A&I ] GROUP TAIWAN
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

PER CONSUMER, THE FRONT CASTER ON HER CHAIR ISN'T WORKING PROPERLY. NO REPORT OF INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR ANI [ A&I ] GROUP TAIWAN IN88AHANFR

Patients

Seq Age Sex Outcome Treatment
1 Other