FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 3863980
·
Received June 10, 2014
Report
- Report Number
- 1531186-2014-02106
- Date Received
- June 10, 2014
- Date of Event
- April 22, 2014
- Report Date
- April 22, 2014
- 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
PROVIDER STATED THAT THE WING THAT PREVENTS THE SEAT FROM RIDING UP THE BACK CANE IS BROKEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 340923 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | JUMAO MEDICAL EQUIPMENT | V18RLR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |