FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3171674 · Received June 15, 2013

Report

Report Number
9616091-2013-01009
Event Type
Malfunction
Date Received
June 15, 2013
Report Date
May 20, 2013
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE DEALER IS REPORTING THAT THE BACK CANES BENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
272480 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TRSX5

Patients

Seq Age Sex Outcome Treatment
1 Other