BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3022062 · Received March 26, 2013

    Report

    Report Number
    1531186-2013-01282
    Date Received
    March 26, 2013
    Report Date
    February 28, 2013
    Manufacturer
    JAEYONG
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    END USER STATES THE RUBBER ON WHEEL IS FRAYING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    123231 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JAEYONG LTTB19R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other