BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4221266 · Received November 3, 2014

    Report

    Report Number
    1531186-2014-05312
    Date Received
    November 3, 2014
    Report Date
    October 14, 2014
    Manufacturer
    JUMAO HEALTHCARE EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER IS REPORTING, THE FRONT RIGHT WHEEL ON THE CHAIR IS FLAT. END USER STATES THAT THE WHEEL WAS WOBBLING, THEN JUST WENT FLAT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    701180 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR JUMAO HEALTHCARE EQUIPMENT V18RLR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other