BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3083684 · Received April 29, 2013

    Report

    Report Number
    1531186-2013-01818
    Date Received
    April 29, 2013
    Report Date
    April 4, 2013
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER CALLED STATING THAT THE RT AND LT BRAKES HAVE FAILED ON THE CHAIR. THE BRAKES ARE NOT ENGAGING AGAINST THE WHEEL. BRAKE BAD LOOKS FINE. TECH COULD NOT ADJUST BRAKES TO MAKE THEM ENGAGE CORRECTLY. ISSUES IS IN THE BRAKE PIVOT JOINT OR HARDWARE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    183722 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT TREX28R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other