FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 2991559 · Received March 6, 2013

Report

Report Number
1525712-2013-01667
Event Type
Malfunction
Date Received
March 6, 2013
Report Date
February 7, 2013
Manufacturer
INVACARE TAYLOR STREET
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

ON (B)(6) 2013 - IT WAS REPORTED BY THE CONSUMER THAT THE MVPS CUSTOM MECHANICAL WHEELCHAIR WHEEL LOCKS WERE NOT HOLDING THE UNIT STILL ENOUGH FOR GETTING IN AND OUT SAFELY. THERE WAS NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
96116 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET MVPS

Patients

Seq Age Sex Outcome Treatment
1 Other