FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 4140808
·
Received October 3, 2014
Report
- Report Number
- 1531186-2014-04693
- Date Received
- October 3, 2014
- Date of Event
- September 12, 2014
- Report Date
- September 15, 2014
- Manufacturer
- JUMAO HEALTHCARE EQUIPMENT
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER ADVISED CHAIR IS WOBBLY, FRAME BROKE AND UPHOLSTERY TORN DUE TO EXCESSIVE WEIGHT, END-USER IS OVER THE WEIGHT CAPACITY OF 250 FOR THE CHAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 620215 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | JUMAO HEALTHCARE EQUIPMENT | V18RLR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |