BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4050562 · Received September 1, 2014

    Report

    Report Number
    1531186-2014-03601
    Date Received
    September 1, 2014
    Date of Event
    July 30, 2014
    Report Date
    July 30, 2014
    Manufacturer
    MAXTHAI - MX - E. CHINA DO NOT USE AS OEM
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    ARM PAD WAS LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    531626 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR MAXTHAI - MX - E. CHINA DO NOT USE AS OEM ALR19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other