FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 3952129
·
Received July 23, 2014
Report
- Report Number
- 1531186-2014-02678
- Date Received
- July 23, 2014
- Report Date
- June 13, 2014
- Manufacturer
- ANI [ A&I ] GROUP TAIWAN
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE BRAKES ARE NOT GRABBING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 431395 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | ANI [ A&I ] GROUP TAIWAN | IN66AHANFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 90 | Other |