BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2892000 · Received January 1, 2013

    Report

    Report Number
    1525712-2012-03419
    Event Type
    Malfunction
    Date Received
    January 1, 2013
    Report Date
    December 31, 2012
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(4) IT WAS REPORTED BY THE CONSUMER THAT THE HTR5500 PATIENT TRANSPORT WHEELCHAIR CYLINDER WAS BROKEN. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    82 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM INVACARE TAYLOR STREET HTR5500

    Patients

    Seq Age Sex Outcome Treatment
    1 Other