BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUICKIE

    MDR report key: 280989 · Received June 6, 2000

    Report

    Report Number
    2082643-2000-00530
    Event Type
    Malfunction
    Date Received
    June 6, 2000
    Date of Event
    May 26, 2000
    Report Date
    June 6, 2000
    Manufacturer
    SUNRISE MEDICAL, MPD
    Product Code
    IOR
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ID, US
    Reporter Occupation
    SERVICE PERSONNEL

    Narratives

    Description of Event or Problem · 1

    REPORTER CLAIMS THE AXLES ARE STUCK AND ARE HARD TO TAKE THE WHEELS OFF THE CHAIR. NO INJURIES REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICKIE WHEELCHAIR, MECHANICAL IOR SUNRISE MEDICAL, MPD UNK P/N 349062

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other