BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3051723 · Received April 10, 2013

    Report

    Report Number
    1525712-2013-02753
    Event Type
    Malfunction
    Date Received
    April 10, 2013
    Report Date
    March 13, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER REPORTED THAT THE WHEEL LOCKS WERE WORN. THIS COULD CAUSE THE CHAIR TO ROLL ON AN INCLINE OR IT COULD CAUSE THE USER TO FALL WHEN ATTEMPTING TO RISE FROM OR SIT INTO THE CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    153936 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET 2GSOLARA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other