BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2880644 · Received December 19, 2012

    Report

    Report Number
    1525712-2012-03139
    Event Type
    Malfunction
    Date Received
    December 19, 2012
    Report Date
    December 18, 2012
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES THAT THE FRONT LEFT CASTER WILL NOT TOUCH THE GROUND. CONSUMER ALLEGES THAT A SERVICE CENTER TECH HAS BEEN OUT TO WORK ON THIS ISSUE HOWEVER WAS NOT RESOLVED. THE END USER CALLED IN TO REPORT THE INCIDENT AND WAS REFERRED TO A DIFFERENT LOCAL SERVICE CENTER. PLEASE NOTE ANY FURTHER INFORMATION RECEIVED WILL BE PROVIDED IN A FOLLOW UP REPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET TA4

    Patients

    Seq Age Sex Outcome Treatment
    1 Other