BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4093718 · Received September 16, 2014

    Report

    Report Number
    1531186-2014-04152
    Date Received
    September 16, 2014
    Report Date
    September 3, 2014
    Manufacturer
    JUMAO HEALTHCARE EQUIPMENT
    Product Code
    IOR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER REPORTED THAT THE ARM ON THEIR (B)(4) VERANDA WHEELCHAIR HAS FALLEN OFF, CAUSING THE USER TO PUNCTURE HER ELBOW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    572524 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT V18RLR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other