BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2895690 · Received January 3, 2013

    Report

    Report Number
    1525712-2013-00048
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Report Date
    January 3, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    ALUMINUM HANDRIM BROKE WHERE THE RIM CIRCLE GETS WELDED TOGETHER TO COMPLETE THE CIRCLE. ALSO THE FOOTRESTS ARE BENT. NO INJURY. THIS DEVICE IS USED IN A FACILITY FOR CLIENTS WITH BRAIN INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2417 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET MVPS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other