BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ACTION

    MDR report key: 317676 · Received February 22, 2001

    Report

    Report Number
    1525712-2001-00013
    Event Type
    Injury
    Date Received
    February 22, 2001
    Date of Event
    January 15, 2001
    Report Date
    February 13, 2001
    Manufacturer
    INVACARE CORP
    Product Code
    IOR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MFR RECEIVED A REPORT FROM A DEALER THAT THE END USER ALLEGEDLY FELL OUT OF THE CHAIR AND BROKE MULTIPLE TEETH WHEN THE SEATING SYSTEM CAME LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    6912 ACTION MECHANICAL WHEELCHAIR IOR INVACARE CORP ALLEGRO NA

    Patients

    Seq Age Sex Outcome Treatment
    1 7 YR Required Intervention