BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3112824 · Received May 14, 2013

    Report

    Report Number
    9616091-2013-00825
    Event Type
    Malfunction
    Date Received
    May 14, 2013
    Report Date
    April 18, 2013
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PER FACILITY A MAN SAID HE BRUISED HIS HAND WHILE TRYING TO PUSH DOWN THE WHEEL LOCK. SHE DID NOT HAVE THE PATIENT'S NAME AND THE FACILITY DID NOT WANT TO COMPLETE FORM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    212776 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TRSX5

    Patients

    Seq Age Sex Outcome Treatment
    1 Other