BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2874703 · Received December 15, 2012

    Report

    Report Number
    1525712-2012-03043
    Event Type
    Malfunction
    Date Received
    December 15, 2012
    Report Date
    December 15, 2012
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    A DEALER HAS REPORTED THAT THE BEARINGS SEIZED UP. A CALL WAS PLACED FOR ADDITIONAL INFORMATION. IT WAS LEARNED THAT THE END USER USES THIS CHAIR EVERYWHERE HE GOES. HE USES INDOORS AND OUTDOORS. SHE STATED THE BEARINGS IN THE CASTER OF FORK SEIZED UP. NO INJURY OR ILL EFFECT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET M51

    Patients

    Seq Age Sex Outcome Treatment
    1 Other