FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3024278 · Received March 27, 2013

Report

Report Number
1525712-2013-02356
Event Type
Malfunction
Date Received
March 27, 2013
Report Date
March 1, 2013
Manufacturer
INVACARE TAYLOR STREET
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. IVC TERROTPRU BUSINESS MANAGER STATES THE CASTERS ON ONE SIDE WILL NOT HIT THE FLOOR. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
125531 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET TA7

Patients

Seq Age Sex Outcome Treatment
1 Other