BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2895714 · Received January 3, 2013

    Report

    Report Number
    1525712-2013-00050
    Event Type
    Malfunction
    Date Received
    January 3, 2013
    Report Date
    January 3, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES TILT CYLINDER FOR HTR5500 CHAIR HAS A BAD SEAL AND IS LEAKING FLUID. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    3218 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 INM INVACARE TAYLOR STREET HTR5500

    Patients

    Seq Age Sex Outcome Treatment
    1 Other