BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3123154 · Received May 21, 2013

    Report

    Report Number
    1525712-2013-03996
    Event Type
    Malfunction
    Date Received
    May 21, 2013
    Report Date
    April 23, 2013
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES THE WHEEL LOCKS ARE NOT GRIPPING THE TIRES PROPERLY. CONSUMER ALSO ALLEGES ON ONE SIDE THE WHEEL LOCK IS BARELY HANGING ON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    225051 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other