BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3123100 · Received May 21, 2013

    Report

    Report Number
    1531186-2013-02194
    Date Received
    May 21, 2013
    Report Date
    April 24, 2013
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES WARRANTY FOR SN (B)(4) TRAN19FR REAR WHEEL RUBBER COMING OFF THE CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    224806 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRAN19FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other