BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3110105 · Received May 13, 2013

    Report

    Report Number
    1531186-2013-02024
    Date Received
    May 13, 2013
    Report Date
    April 16, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER REPORTS THAT THE BOLT FOR TIGHTENING THE FOOT REST IS MISSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    211559 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR DANYANG MAXTHAI MEDICAL EQUIPMENT LTTB17FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other