BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3230599 · Received July 16, 2013

    Report

    Report Number
    1525712-2013-05833
    Event Type
    Malfunction
    Date Received
    July 16, 2013
    Report Date
    June 26, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A RVL CUSTOM MANUAL WHEELCHAIR HAD VELCRO COMING OFF THE BACK OF THE CHAIR AND UNDERNEATH THE SEAT THE SEAMS ARE COMING UNDONE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    329060 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET RVL

    Patients

    Seq Age Sex Outcome Treatment
    1 Other