BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 2990189 · Received March 5, 2013

    Report

    Report Number
    9616091-2013-00350
    Event Type
    Malfunction
    Date Received
    March 5, 2013
    Report Date
    February 6, 2013
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). THE DEALER REPORTED THAT THE PATIENT WAS RIDING A TRSX50FB MECHANICAL WHEELCHAIR HAVING WORN BEARINGS. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    93478 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TRSX50FB

    Patients

    Seq Age Sex Outcome Treatment
    1 Other