FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 3932925
·
Received July 14, 2014
Report
- Report Number
- 1531186-2014-02523
- Date Received
- July 14, 2014
- Report Date
- June 9, 2014
- Manufacturer
- JUMAO MEDICAL EQUIPMENT
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER DEALER WHEEL WAS REMOVED FROM THE BOX WITH BROKEN SPOKES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 411251 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | JUMAO MEDICAL EQUIPMENT | TREX28R |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |