BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4192958 · Received October 22, 2014

    Report

    Report Number
    1531186-2014-05006
    Date Received
    October 22, 2014
    Report Date
    October 1, 2014
    Manufacturer
    JUMAO HEALTHCARE EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER ALLEGED THAT A WASHER FROM THE WHEEL LOCK WAS WORN, CAUSING IT TO BE LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    671773 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT V18PFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other