FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 2832738 · Received November 14, 2012

Report

Report Number
1531186-2012-01385
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
TX, US
Reporter Occupation
PHYSICIST

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER STATING RECEIVED 23 VERANDA WHEELCHAIR AND ON 2 OF THEM (NO SERIAL NUMBER) THE BACK UPHOLSTERY IS RIPPING WITHIN A WEEKS USE. THE SAME USER AND, PER DEALER, UNDER WEIGHT CAPACITY. MDR FILED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 Other