BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4120345 · Received September 26, 2014

    Report

    Report Number
    1531186-2014-04471
    Date Received
    September 26, 2014
    Date of Event
    August 6, 2014
    Report Date
    September 5, 2014
    Manufacturer
    ANI [ A&I ] GROUP TAIWAN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE LOCKING MECHANISM IS NOT WORKING ON THE RIGHT SIDE. INDIVIDUAL FOOTRESTS ARE NOT AVAILABLE SO COMPLETE PAIR HAS TO BE SENT OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    601916 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR ANI [ A&I ] GROUP TAIWAN IN86AHANFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other