BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3211922 · Received July 8, 2013

    Report

    Report Number
    9616091-2013-01159
    Event Type
    Malfunction
    Date Received
    July 8, 2013
    Report Date
    June 13, 2013
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES FRONT RIGGING PART HAS FALLEN OFF AND WILL NOT GO BACK ON; IT PREVENTS THE RAISING AND LOWERING OF THE LEGREST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    309656 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX T4X24RDA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other