BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4043584 · Received August 28, 2014

    Report

    Report Number
    1531186-2014-03617
    Date Received
    August 28, 2014
    Report Date
    August 1, 2014
    Manufacturer
    JUMAO - JM - E. CHINA
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER, THE HEAD TUBE WAS NOT ATTACHED TO THE CHAIR. PICTURES OF THIS ARE UPLOADED IN ORDER (B)(4) IF NEEDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    525011 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO - JM - E. CHINA TREX28RFP

    Patients

    Seq Age Sex Outcome Treatment
    1 Other