BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4090121 · Received September 15, 2014

    Report

    Report Number
    1531186-2014-04114
    Date Received
    September 15, 2014
    Report Date
    August 22, 2014
    Manufacturer
    JUMAO - JM - E. CHINA
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES REAR SEAT GUIDE HAS BROKEN. END USER STATED THEY WERE USING IS NORMALLY AND IT STARTED TO FOLD ON THEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    569827 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO - JM - E. CHINA V18PFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other