BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUICKIE 3RX WHEELCHAIR

    MDR report key: 105707 · Received July 14, 1997

    Report

    Report Number
    2082643-1997-01041
    Event Type
    Malfunction
    Date Received
    July 14, 1997
    Report Date
    July 11, 1997
    Manufacturer
    QUICKIE DESIGNS, INC.
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    DEALER CLAIMS X-TUBE CRACKED AT THE CENTER BOLT WHILE CHAIR WAS IN USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICKIE 3RX WHEELCHAIR WHEELCHAIR, MECHANICAL IOR QUICKIE DESIGNS, INC. NA P/N-672616

    Patients

    Seq Age Sex Outcome Treatment
    1 48 YR Other