BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2820045 · Received November 5, 2012

    Report

    Report Number
    1531186-2012-01346
    Date Received
    November 5, 2012
    Report Date
    November 5, 2012
    Manufacturer
    ANI [ A&I ] GROUP TAIWAN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) - IT WAS REPORTED BY THE FACILITY STAFF THAT THE IN08AHANFR MECHANICAL WHEELCHAIR FRONT LEFT CASTER SCREWS WERE COMING OFF. THERE WAS NO PATIENT 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 IN08AHANFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other