BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3061203 · Received April 16, 2013

    Report

    Report Number
    1531186-2013-01581
    Date Received
    April 16, 2013
    Report Date
    March 19, 2013
    Manufacturer
    SHUNLONG PHYSICAL THERAPY EQUIPMENT
    Product Code
    ITJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER STATES HANDLE LEVERS BROKE. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    162638 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 ITJ SHUNLONG PHYSICAL THERAPY EQUIPMENT 65510

    Patients

    Seq Age Sex Outcome Treatment
    1 Other