FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 2890401
·
Received December 29, 2012
Report
- Report Number
- 1531186-2012-01913
- Date Received
- December 29, 2012
- Report Date
- December 29, 2012
- Manufacturer
- ANI [ A&I ] GROUP TAIWAN
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
ON (B)(6) - IT WAS REPORTED BY THE TERRITORY BUSINESS MANAGER THAT THE IN66AHANFR MECHANICAL WHEELCHAIR CASTER HOUSING WAS NOT HOLDING, AND WAS BENDING UNDERNEATH THE UNIT. 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 | IN66AHANFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |