BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2872937 · Received December 13, 2012

    Report

    Report Number
    1525712-2012-02932
    Event Type
    Malfunction
    Date Received
    December 13, 2012
    Report Date
    December 13, 2012
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER THE TWO BOLTS THAT GO INTO THE SIDES OF THE T ARM BLACK METAL SOCKET ABLY BRACKET. ARE MISSING. DEALER WAS NOT SURE IF THEY BROKE FIRST OR NOT. REPORTER STATED THE USER WAS VERY HARD ON THE CHAIR AND TENDS TO LEAN ON THE ARM ALL THE TIME. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET M41SRR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other