FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3232905 · Received July 18, 2013

Report

Report Number
9616091-2013-01239
Event Type
Malfunction
Date Received
July 18, 2013
Report Date
June 26, 2013
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE PROVIDER STATED THE SEAT SLING IS SAGGING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
336247 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TRSX5

Patients

Seq Age Sex Outcome Treatment
1 Other