BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3180989 · Received June 20, 2013

    Report

    Report Number
    1531186-2013-02712
    Date Received
    June 20, 2013
    Report Date
    May 24, 2013
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES BROKEN WELD ON CASTER HEADTUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    280511 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT TREX26R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other