BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4041732 · Received August 27, 2014

    Report

    Report Number
    1531186-2014-03578
    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
    SC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES FRAME AT FRONT CASTER THAT ARM LOCKS INTO IS BROKEN OFF OF THE WELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    521600 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO - JM - E. CHINA V16RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other