BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4201863 · Received October 27, 2014

    Report

    Report Number
    1531186-2014-05105
    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
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER SENT A PICTURE OF THE WHEEL AND WAS ASKING IF THIS WAS COVERED BY WARRANTY. THE PICTURE IMPLIES LARGE CUTS INTO THE TIRE ASSEMBLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    681976 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT TRSX58FBP

    Patients

    Seq Age Sex Outcome Treatment
    1 Other