BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3123271 · Received May 21, 2013

    Report

    Report Number
    1525712-2013-04027
    Event Type
    Malfunction
    Date Received
    May 21, 2013
    Report Date
    April 25, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE FRONT RIGGINGS ON A SOLARA2G MANUAL TILT IN SPACE WHEELCHAIR BROKE AT THE PIVOT POINT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    224585 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET SOLARA2G

    Patients

    Seq Age Sex Outcome Treatment
    1 Other