FDA Adverse Event Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 4032286 · Received August 25, 2014

Report

Report Number
1531186-2014-03454
Date Received
August 25, 2014
Date of Event
July 25, 2014
Report Date
July 25, 2014
Manufacturer
JUMAO - JM - E. CHINA
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE V18PFR WHEELCHAIR WAS RECEIVED WITH THE SEAT UPHOLSTERY COMING AWAY FROM THE PADDING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
512500 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO - JM - E. CHINA V18PFR

Patients

Seq Age Sex Outcome Treatment
1 Other