BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3051752 · Received April 10, 2013

    Report

    Report Number
    1525712-2013-02745
    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
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES, PLAY IN PIVOT ASSEMBLY. POSSIBLE WORN COMPONENTS. WHEN IN ANY OF THE DIFFERENT LEVEL OF TILT POSITION, THE SEAT SECTION WILL GO FORWARD AND BACKWARDS ABOUT AN (1) MOVEMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    148822 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET SPT

    Patients

    Seq Age Sex Outcome Treatment
    1 Other