BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3018358 · Received March 22, 2013

    Report

    Report Number
    1525712-2013-02225
    Event Type
    Malfunction
    Date Received
    March 22, 2013
    Report Date
    February 25, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE HARDWARE FOR THE CALF PAD BROKE OFF. (P/N 1130754).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    120294 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET SOLARA2G

    Patients

    Seq Age Sex Outcome Treatment
    1 Other