BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2802237 · Received October 23, 2012

    Report

    Report Number
    1531186-2012-01241
    Date Received
    October 23, 2012
    Report Date
    October 22, 2012
    Manufacturer
    ANI [ A&I ] GROUP TAIWAN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) - THE DEALER REPORTED THAT THE IN88AHANFR MECHANICAL WHEELCHAIR FRONT WHEELS CASTER FORKS WAS VERY TIGHTENED RESULTING IN THE UNIT BEING UNABLE TO MOVE. THERE WAS NO INJURY REPORTED.

    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 76 Other