BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3081714 · Received April 29, 2013

    Report

    Report Number
    1531186-2013-01804
    Date Received
    April 29, 2013
    Report Date
    April 3, 2013
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER DEALER, THE CUSTOMER IS COMPLAINING THAT THE WHEELS ARE LEAVING BLACK MARKS ON THE FLOOR. HE STATES THE WHEEL LOCK BOLT IS CLOSE THE TIRE WHICH MAY BE CAUSING IT TO RUB, POSSIBLY CAUSING THE TIRE TO RUB OFF. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    185688 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V18RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other