FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3230313 · Received July 16, 2013

Report

Report Number
1531186-2013-03203
Date Received
July 16, 2013
Report Date
June 25, 2013
Manufacturer
JUMAO MEDICAL EQUIPMENT
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER PROVIDER THE CASTER IS BROKE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
328644 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V18PFR

Patients

Seq Age Sex Outcome Treatment
1 Other