BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4094026 · Received September 16, 2014

    Report

    Report Number
    1531186-2014-04174
    Date Received
    September 16, 2014
    Report Date
    August 22, 2014
    Manufacturer
    ANI [ A&I ] GROUP TAIWAN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER: PIVOT LINKS HAVE BROKEN ON THE DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    573665 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR ANI [ A&I ] GROUP TAIWAN IN88AHANFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other