BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2832709 · Received November 14, 2012

    Report

    Report Number
    1531186-2012-01381
    Date Received
    November 14, 2012
    Report Date
    November 9, 2012
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. CUSTOMER STATES THE RIGHT AND LEFT ARM ON THIS CHAIR IS LOOSE. CUSTOMER ALSO STATES THAT THE BRAKES ARE LOOSE AS WELL. HE SAYS THAT THE ACTUAL BRAKE LEVER IS LOOSE AND THAT, WHEN THE CHAIR IS LOCKED IN PLACE, IT STILL WILL MOVE A LITTLE BIT. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT TRSX58FB

    Patients

    Seq Age Sex Outcome Treatment
    1 65 Other