BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2863861 · Received December 10, 2012

    Report

    Report Number
    1531186-2012-01695
    Date Received
    December 10, 2012
    Report Date
    December 7, 2012
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PINS ON FRAME BROKEN. IN SPEAKING WITH THE REPORTER, IT WAS LEARNED THE FOOTRESTS WERE COMPLETELY BROKEN. THE CHAIR IS IN THE POSSESSION OF THE END USER. THE DEALER IS NOT SURE HOW THE PINS CAME TO BE BROKEN, JUST KNOWS THAT THEY WERE. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V18RLR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other