FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 3110104
·
Received May 13, 2013
Report
- Report Number
- 1531186-2013-02021
- Date Received
- May 13, 2013
- Report Date
- April 17, 2013
- Manufacturer
- ANI [ A&I ] GROUP TAIWAN
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER PROVIDER THE CASTER WILL NOT STAY TIGHT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 210704 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | ANI [ A&I ] GROUP TAIWAN | IN86AHANFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 50 | Other |