FDA Adverse Event
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3123216
·
Received May 21, 2013
Report
- Report Number
- 1531186-2013-02200
- Date Received
- May 21, 2013
- Report Date
- April 26, 2013
- Manufacturer
- JUMAO MEDICAL EQUIPMENT
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NV, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATING ONE OF THE REAR WHEELS SPLIT - WANTS TO RETURN CHAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 224273 | POWERED WHEELCHAIR | 890.3860 | ITI | JUMAO MEDICAL EQUIPMENT | V20RFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |