BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4130312 · Received September 30, 2014

    Report

    Report Number
    1531186-2014-04541
    Date Received
    September 30, 2014
    Report Date
    September 9, 2014
    Manufacturer
    DANYANG HUAYI MEDICAL SUPPLY&EQUIPMENT CO.,LTD
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER END-USER, RUBBER IS COMING OFF THE CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    607964 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR DANYANG HUAYI MEDICAL SUPPLY&EQUIPMENT CO.,LTD V18RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other