BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3923176 · Received July 9, 2014

    Report

    Report Number
    1531186-2014-02459
    Date Received
    July 9, 2014
    Date of Event
    June 5, 2014
    Report Date
    June 5, 2014
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER BACK UPHOLSTERY TEARING AT SEAMS AT THE SCREW HOLES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    400994 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V18RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other