BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4120518 · Received September 26, 2014

    Report

    Report Number
    1531186-2014-04431
    Date Received
    September 26, 2014
    Report Date
    September 5, 2014
    Manufacturer
    JUMAO HEALTHCARE EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED BY THE PROVIDED THAT THE SPOKES ON THE RIGHT SIDE CASTER WERE ALL CRACKED AND SOME WERE MISSING. NO APPARENT SIGNS OF PHYSICAL DAMAGE TO THE DEVICE. NO PATIENT INJURY REPORTED, NO ADDITIONAL INFORMATION PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    600970 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT V18RLR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other