BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3963911 · Received July 29, 2014

    Report

    Report Number
    1531186-2014-02834
    Date Received
    July 29, 2014
    Report Date
    June 19, 2014
    Manufacturer
    JUMAO MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER THE WHEEL BROKE AT SPOKES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    440874 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO MEDICAL EQUIPMENT TRSX50FB

    Patients

    Seq Age Sex Outcome Treatment
    1 Other