BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2950717 · Received February 8, 2013

    Report

    Report Number
    1525712-2013-00937
    Event Type
    Malfunction
    Date Received
    February 8, 2013
    Report Date
    February 8, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES THAT AS HE WAS TRANSPORTING FROM HIS TRUCK TO THE CHAIR AND IT SNAPPED. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    54477 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN TA4T

    Patients

    Seq Age Sex Outcome Treatment
    1 Other