BEUDAMED
    FDA Adverse Event Summary report: N

    WHEELCHAIR ACCESSORY

    MDR report key: 3181050 · Received June 20, 2013

    Report

    Report Number
    1531186-2013-02726
    Date Received
    June 20, 2013
    Report Date
    May 24, 2013
    Manufacturer
    HL CORP. (SHENZHEN)
    Product Code
    INE
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGES THE MOUNTING HARDWARE OF THE RAILS BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    279972 WHEELCHAIR ACCESSORY 890.3910 INE HL CORP. (SHENZHEN) 6630

    Patients

    Seq Age Sex Outcome Treatment
    1 Other