FDA Adverse Event
Malfunction
Summary report: N
QUICKIE 2 WHEELCHAIR
MDR report key: 187950
·
Received September 21, 1998
Report
- Report Number
- 2082643-1998-01209
- Event Type
- Malfunction
- Date Received
- September 21, 1998
- Report Date
- September 21, 1998
- Manufacturer
- SUNRISE MEDICAL MPD
- Product Code
- IOR
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- SERVICE PERSONNEL
Narratives
Description of Event or Problem · 1
REPORTER CLAIMS X-TUBE BROKE AT THE CENTER BOLT WHILE OPERATOR WAS TRANSFERRING. NO INJURIES INVOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | QUICKIE 2 WHEELCHAIR | WHEELCHAIR, MECHANICAL | IOR | SUNRISE MEDICAL MPD | NA | P/N-672616 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 28 YR | Other |