FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3133379 · Received May 29, 2013

Report

Report Number
9616091-2013-00896
Event Type
Malfunction
Date Received
May 29, 2013
Report Date
May 1, 2013
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES THE WHEEL LOCKS ARE NOT WORKING PROPERLY. DEALER ADJUSTED AND TIGHTENED WHEEL LOCKS, BUT THEY'RE STILL NOT WORKING AS THEY SHOULD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
237223 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TRSX5

Patients

Seq Age Sex Outcome Treatment
1 Other