BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HVY DUTY TRANSPORT 22 IN-W/FTRST 9153643753

    MDR report key: 4374929 · Received December 31, 2014

    Report

    Report Number
    1531186-2014-07066
    Event Type
    Malfunction
    Date Received
    December 31, 2014
    Date of Event
    December 8, 2014
    Report Date
    December 8, 2014
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ADVISED THAT THE BRAKE IS NOT LOCKING/FUNCTIONING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    861455 HVY DUTY TRANSPORT 22 IN-W/FTRST 9153643753 WHEELCHAIR, MECHANICAL IOR JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRHD22FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other