BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3123111 · Received May 21, 2013

    Report

    Report Number
    1531186-2013-02192
    Date Received
    May 21, 2013
    Report Date
    April 24, 2013
    Manufacturer
    ANI [ A&I ] GROUP TAIWAN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATES THAT THE RIGHT REAR WHEEL IS RUBBING ON THE FRAME OF CHAIR. EVERYTHING LOOKS THE SAME LEFT SIDE, EVERYTHING IS TIGHT CANNOT LOCATE ISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    224957 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR ANI [ A&I ] GROUP TAIWAN IN66AHANFR

    Patients

    Seq Age Sex Outcome Treatment
    1 66 Other