FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 4242296
·
Received November 11, 2014
Report
- Report Number
- 1531186-2014-05509
- Date Received
- November 11, 2014
- Report Date
- October 13, 2014
- Manufacturer
- JUMAO HEALTHCARE EQUIPMENT
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
V18RLR WHEELCHAIR FOOTREST HAS BROKEN AND WILL NOT STAY UP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 727206 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | JUMAO HEALTHCARE EQUIPMENT | V18RLR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |