BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4041118 · Received August 27, 2014

    Report

    Report Number
    1531186-2014-03579
    Date Received
    August 27, 2014
    Report Date
    August 1, 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

    DEALER STATED NO THREAD ON TIRE. HE STATES DAMAGE TO THE WHEEL UPON DELIVERY. HE STATES THE MATERIAL ON THE WHEEL WAS DAMAGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    520398 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO - JM - E. CHINA V18PLR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other