FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 4168779
·
Received October 14, 2014
Report
- Report Number
- 1531186-2014-04902
- Date Received
- October 14, 2014
- Report Date
- September 24, 2014
- Manufacturer
- JUMAO HEALTHCARE EQUIPMENT
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATES, FRONT RIGHT CASTER IS BROKEN. NO FURTHER DETAILS. PROBLEM GETTING REPLACEMENT CASTERS, CHECKING ON AVAILABILITY AND IF PART 1151514 CAN BE USED. EMAIL IN TO CS PARTS SPEC CALLED DEALER AT 6PM 09/24/2014 TO RETURN CALL , DEALER CLOSED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 651103 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | JUMAO HEALTHCARE EQUIPMENT | V18PFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |