BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3230140 · Received July 16, 2013

    Report

    Report Number
    1531186-2013-03186
    Date Received
    July 16, 2013
    Report Date
    June 25, 2013
    Manufacturer
    TAIWAN ANI CO., LTD.
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THE IN88AHANFRFF MANUAL WHEELCHAIR HARDWARE HAS COME LOOSE AND CAUSED DAMAGE TO THE HEAD TUBE. FURTHER, THE REPORTER ALLEGED, THE PATIENT HAS ATTEMPTED TO FIX THE CHAIR ON HIS OWN; HOWEVER, THE PATIENT'S EFFORTS HAVE CAUSED FURTHER DAMAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    328809 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR TAIWAN ANI CO., LTD. IN88AHANFRFF

    Patients

    Seq Age Sex Outcome Treatment
    1 Other