BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3133318 · Received May 29, 2013

    Report

    Report Number
    1531186-2013-02344
    Date Received
    May 29, 2013
    Report Date
    May 2, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE FORK HAS PUSHED UP INTO THE FRAME. POSSIBLE ISSUE WITH THE BEARING. NO SERVICE PARTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    235674 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR DANYANG MAXTHAI MEDICAL EQUIPMENT ALR19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other