FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3160612 · Received June 10, 2013

Report

Report Number
1531186-2013-02518
Date Received
June 10, 2013
Report Date
May 14, 2013
Manufacturer
JUMAO MEDICAL EQUIPMENT
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES RIGHT FRONT CASTER DENTED AND WOBBLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
260234 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT TRSX58FB

Patients

Seq Age Sex Outcome Treatment
1 Other