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 |