BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2912567 · Received January 13, 2013

    Report

    Report Number
    1531186-2013-00185
    Date Received
    January 13, 2013
    Report Date
    January 13, 2013
    Manufacturer
    GOODBABY
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT A WELD ON A TRSX5 MANUAL WHEELCHAIR ALLEGEDLY BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    19604 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR GOODBABY TRSX5

    Patients

    Seq Age Sex Outcome Treatment
    1 Other