BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4211313 · Received October 29, 2014

    Report

    Report Number
    1531186-2014-05180
    Date Received
    October 29, 2014
    Report Date
    October 9, 2014
    Manufacturer
    JUMAO HEALTHCARE EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER, THE CROSS BRACE BROKE AT THE WELD THAT CONNECTS THE SEAT RAIL ON THE RIGHT SIDE OF THE CHAIR. THE CUSTOMER SAT IN THE CHAIR YESTERDAY AND THE WELD BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    693677 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT TRSX50FB

    Patients

    Seq Age Sex Outcome Treatment
    1 Other