BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HARMAR MOTORIZED WHEELCHAIR CARRIER WITH SWING-OUT FOR ACCESS TO TRUNK.

    MDR report key: 17011105 · Received May 25, 2023

    Report

    Report Number
    MW5117919
    Event Type
    Injury
    Date Received
    May 25, 2023
    Date of Event
    May 18, 2023
    Report Date
    May 23, 2023
    Manufacturer
    HARMAR MOBILITY, LLC
    Product Code
    PCE
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    MOTORIZED WHEELCHAIR CARRIER PROVIDED BY MEDICAL VENDOR FOUR YEARS AGO TURNED OUT TO BE THE WRONG TYPE. NOW IT IS ALMOST FALLING OFF BACK OF 2014 SUBARU OUTBACK. I AM NOW MOSTLY TRAPPED AT HOME; CANNOT SHOP OR GO TO MEDICAL APPOINTMENTS. FOUR YEARS AGO I COULD HAVE TRADED FOR A MORE WHEEL-CHAIR ADAPTABLE CAR. UNABLE TO USE PROSTHESIS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    650218 HARMAR MOTORIZED WHEELCHAIR CARRIER WITH SWING-OUT FOR ACCESS TO TRUNK. PERMANENTLY MOUNTED WHEELCHAIR PLATFORM LIFT PCE HARMAR MOBILITY, LLC AL105R2

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Male Required Intervention| S| L