BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3932609 · Received July 14, 2014

    Report

    Report Number
    1531186-2014-02515
    Date Received
    July 14, 2014
    Date of Event
    May 30, 2014
    Report Date
    June 6, 2014
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    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

    DEALER STATED THAT THE LEFT WHEEL LOCK ON A V18RFR VERANDA WHEELCHAIR IS BROKEN OR WILL NOT HOLD DUE TO THE SCREW BEING LOOSE,

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    409695 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT V18RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other