FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3000729 · Received March 12, 2013

Report

Report Number
9616091-2013-00434
Event Type
Malfunction
Date Received
March 12, 2013
Report Date
February 14, 2013
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

(B)(4). IT WAS REPORTED BY THE CONSUMER THAT THE TREXEX2 MECHANICAL WHEELCHAIR SEAT WAS TEARING AT THE END, AND THE RODS HAD SHARP EDGES. THERE WAS NO INJURIES REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104239 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREXEX2

Patients

Seq Age Sex Outcome Treatment
1 86 Other