BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2981852 · Received February 27, 2013

    Report

    Report Number
    1531186-2013-00786
    Date Received
    February 27, 2013
    Report Date
    January 31, 2013
    Manufacturer
    GOODBABY
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) - THE DEALER REPORTED THAT ONE OF THE TREX28R MECHANICAL WHEELCHAIR SPOKE WAS BROKEN. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    83215 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR GOODBABY TREX28R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other