BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2781839 · Received October 11, 2012

    Report

    Report Number
    1531186-2012-01160
    Date Received
    October 11, 2012
    Date of Event
    September 14, 2012
    Report Date
    October 10, 2012
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER CALLED STATING THAT WHILE THE END USER WAS RIDING IN THE V18RFR MANUAL WHEELCHAIR, A WHEEL SPOKE HAD ALLEGEDLY BROKE. REPLACEMENT WHEEL HAS BEEN ISSUED. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V18RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 52 MO Other