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