BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3203383 · Received July 2, 2013

    Report

    Report Number
    1531186-2013-02909
    Date Received
    July 2, 2013
    Report Date
    June 7, 2013
    Manufacturer
    GOODBABY
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE PROVIDER REPORTED THE WELD NEAR THE REAR RIGHT AXLE ON THE TREX20R STANDARD WHEELCHAIR IS CRACKED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    301992 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR GOODBABY TREX20R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other