BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3073586 · Received April 23, 2013

    Report

    Report Number
    9616091-2013-00688
    Event Type
    Malfunction
    Date Received
    April 23, 2013
    Report Date
    March 28, 2013
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER REPORTED THAT THE CASTER BECAME STUCK IN A DOOR AND THE PLASTIC SPOKES CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    173575 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX GVTRSX58

    Patients

    Seq Age Sex Outcome Treatment
    1 Other