BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3083714 · Received April 29, 2013

    Report

    Report Number
    1531186-2013-01819
    Date Received
    April 29, 2013
    Date of Event
    April 3, 2013
    Report Date
    April 3, 2013
    Manufacturer
    HL CORP. (SHENZHEN)
    Product Code
    ITI
    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

    PROVIDER STATES BROKEN FOOTPLATE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    183769 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 ITI HL CORP. (SHENZHEN) T93HE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other