FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 4112411
·
Received September 24, 2014
Report
- Report Number
- 1531186-2014-04382
- Date Received
- September 24, 2014
- Report Date
- September 4, 2014
- Manufacturer
- DANYANG MAXTHAI MEDICAL EQUIPMENT
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
BROKE OFF AT REAR OF FRAME, PER DEALER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 593005 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | DANYANG MAXTHAI MEDICAL EQUIPMENT | ALB19HBFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |