BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3151007 · Received June 6, 2013

    Report

    Report Number
    1531186-2013-02470
    Date Received
    June 6, 2013
    Date of Event
    May 4, 2013
    Report Date
    May 10, 2013
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER ALLEGES THE LOWER BEARING CAME LOOSE ON THE FRONT CASTER OF A TRSX50FB WHEELCHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    250094 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT TRSX50FB

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Other