FDA Adverse Event Summary report: N

WHEELCHAIR COMPONENTS

MDR report key: 3771703 · Received April 24, 2014

Report

Report Number
1531186-2014-01516
Date Received
April 24, 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

IT WAS REPORTED THAT A RIGGING WOULD NOT LOWER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
249608 WHEELCHAIR COMPONENTS 890.3920 KNN POPULAR PLASTICS T94HE

Patients

Seq Age Sex Outcome Treatment
1 Other