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 |