FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 2563114
·
Received May 8, 2012
Report
- Report Number
- 9615350-2012-00002
- Date Received
- May 8, 2012
- Report Date
- May 2, 2012
- Manufacturer
- MOTION CONCEPTS
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- ND, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
CUSTOMER ALLEGED PLASTIC BROKE WHERE THE HARDWARE ATTACHES ON PB BACK. (B)(4). NO INJURY ALLEGED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | MOTION CONCEPTS | MPB2016 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |