BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3133051 · Received May 29, 2013

    Report

    Report Number
    1525712-2013-04200
    Event Type
    Injury
    Date Received
    May 29, 2013
    Report Date
    May 2, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER END USER THE TIRES ARE FLAT AND CHAIR IS CUTTING INTO BACK AND HURTING HIM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    237241 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET CT7A

    Patients

    Seq Age Sex Outcome Treatment
    1 43 Other