BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2932030 · Received January 28, 2013

    Report

    Report Number
    1531186-2013-00325
    Date Received
    January 28, 2013
    Date of Event
    December 30, 2012
    Report Date
    January 28, 2013
    Manufacturer
    HL CORP. (SHENZHEN)
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    AN END USER HAS CALLED IN AND REPORTED THE HINGES ON THE SEAT HAVE BROKEN. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    37325 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 ITJ HL CORP. (SHENZHEN) 65650R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other