BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3061138 · Received April 16, 2013

    Report

    Report Number
    1525712-2013-02888
    Event Type
    Malfunction
    Date Received
    April 16, 2013
    Report Date
    March 19, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES THE WHEELCHAIR IS HARD TO PUSH AND THAT A SPRING CAME OUT OF HER FOOTREST AND NOW THEY DO NOT WORK, CONSUMER DID NOT KNOW WHAT MODEL HER CHAIR WAS BUT DID ADVISE IT HAD INVACARE ON IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    163419 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other