FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 3250471
·
Received July 26, 2013
Report
- Report Number
- 1531186-2013-03406
- Date Received
- July 26, 2013
- Report Date
- July 10, 2013
- Manufacturer
- DANYANG MAXTHAI MEDICAL EQUIPMENT
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MT, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT A ALR19HBFR MANUAL WHEELCHAIR HAD A BROKEN WHEEL LOCK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 351055 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | DANYANG MAXTHAI MEDICAL EQUIPMENT | ALR19HBFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |