BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4130079 · Received September 30, 2014

    Report

    Report Number
    1531186-2014-04577
    Date Received
    September 30, 2014
    Date of Event
    September 8, 2014
    Report Date
    September 8, 2014
    Manufacturer
    JUMAO HEALTHCARE EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OR, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE RIGHT BACK CANE IS FRACTURED. PATIENT (B)(6) OVER WEIGHT LIMIT. DEALER CHANGING OUT CHAIR FOR HEAVY DUTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    607727 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT TREX20R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other