BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3100693 · Received May 8, 2013

    Report

    Report Number
    1531186-2013-01952
    Date Received
    May 8, 2013
    Report Date
    April 11, 2013
    Manufacturer
    UNKNOWN
    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

    PER PROVIDER FOOTREST BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    201608 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN T93HC

    Patients

    Seq Age Sex Outcome Treatment
    1 Other