FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3233213 · Received July 18, 2013

Report

Report Number
1525712-2013-05877
Date Received
July 18, 2013
Report Date
June 26, 2013
Manufacturer
UNKNOWN
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES SECTOR BLOCK SHEARED OFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334417 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other