FDA Adverse Event
Summary report: N
WHEELCHAIR COMPONENTS
MDR report key: 3764865
·
Received April 22, 2014
Report
- Report Number
- 1531186-2014-01463
- Date Received
- April 22, 2014
- Report Date
- March 21, 2014
- Manufacturer
- POPULAR PLASTICS
- Product Code
- KNN
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PROVIDER REPORTS WILL NOT LOWER, ROD WILL NOT RELEASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 242810 | WHEELCHAIR COMPONENTS | 890.3920 | KNN | POPULAR PLASTICS | T94HE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |