FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3033988 · Received April 3, 2013

Report

Report Number
9616091-2013-00557
Event Type
Malfunction
Date Received
April 3, 2013
Report Date
March 7, 2013
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VT, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). THE DEALER REPORTED THAT THE TRSX5 MECHANICAL WHEELCHAIR HANDRIM CHROME WAS DETACHING AND CUTTING THE END USER'S HANDS, RESULTING IN MINOR BLEEDING CUTS AND MAKING THE PATIENT TO WEAR BANDAGES. NO MEDICAL ATTENTION WAS SOUGHT. SHOULD WE RECEIVE ADDITIONAL INFORMATION, THIS FILE WILL BE REVISED, AND A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
137078 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TRSX5

Patients

Seq Age Sex Outcome Treatment
1 Other