BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3133447 · Received May 29, 2013

    Report

    Report Number
    3004493922-2013-01159
    Event Type
    Malfunction
    Date Received
    May 29, 2013
    Report Date
    May 2, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATED THAT THE PIN THAT HOLDS THE SEAT ON THE M41 POWER CHAIR IS COMING LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    236302 POWERED WHEELCHAIR 890.3860 IOR INVACARE SUZHOU M41

    Patients

    Seq Age Sex Outcome Treatment
    1 Other