FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3150977 · Received June 6, 2013

Report

Report Number
1531186-2013-02481
Date Received
June 6, 2013
Report Date
May 10, 2013
Manufacturer
JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES UPHOLSTERY TORN DOWN RIGHT SIDE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
250020 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRHD22FR

Patients

Seq Age Sex Outcome Treatment
1 Other