BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4201770 · Received October 27, 2014

    Report

    Report Number
    1531186-2014-05097
    Date Received
    October 27, 2014
    Report Date
    October 6, 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

    PER DEALER THE C BRACKET THAT ATTACHES THE SEAT FRAME TO THE BACK CANES HAS COME DETACHED. WE DO NOT HAVE ANY REPLACEMENT PARTS, WILL REPLACE THE ENTIRE CHAIR. S/N (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    682643 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT V20RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other