FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 3980774
·
Received August 5, 2014
Report
- Report Number
- 1531186-2014-02990
- Date Received
- August 5, 2014
- Report Date
- July 3, 2014
- Manufacturer
- JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PROVIDER STATES THAT THE BACK UPHOLSTERY ON THIS UNIT IS STRETCHED OUT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 458003 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD | TRHD22FR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |