FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3884494 · Received June 19, 2014

Report

Report Number
1531186-2014-02186
Date Received
June 19, 2014
Report Date
May 21, 2014
Manufacturer
JUMAO MEDICAL EQUIPMENT
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
RI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE SEAT OF THE (B)(4) WHEEL CHAIR RIPPED AFTER 3 MONTHS OF USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
361209 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V20RLR

Patients

Seq Age Sex Outcome Treatment
1 Other