BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4017827 · Received August 18, 2014

    Report

    Report Number
    1531186-2014-03323
    Date Received
    August 18, 2014
    Report Date
    July 22, 2014
    Manufacturer
    JUMAO - JM - E. CHINA
    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

    IT WAS REPORTED THAT THE THE LATCH TO SECURE THE SWING ARM FOR THE LEFT ARM OF THE TRSX58FB WHEELCHAIR IS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    495965 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO - JM - E. CHINA TRSX58FB

    Patients

    Seq Age Sex Outcome Treatment
    1 Other