BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2912576 · Received January 13, 2013

    Report

    Report Number
    1525712-2013-00325
    Event Type
    Malfunction
    Date Received
    January 13, 2013
    Date of Event
    December 13, 2012
    Report Date
    January 13, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SD, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE POSTIONING STRAP ON A XTRA MANUAL WHEELCHAIR ALLEGEDLY CRACKED A WHEEL SPOKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    19607 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET XTRA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other