BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3083536 · Received April 29, 2013

    Report

    Report Number
    1531186-2013-01807
    Date Received
    April 29, 2013
    Report Date
    April 2, 2013
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) THE DEALER REPORTED THAT THE TRSX56FB CUSTOM MECHANICAL WHEELCHAIR HAD A BROKEN HARDWARE ON THE FLIP BACK ARMREST. THERE WAS NO INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    184616 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT TRSX56FB

    Patients

    Seq Age Sex Outcome Treatment
    1 Other