FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3241854 · Received July 22, 2013

Report

Report Number
1525712-2013-06033
Event Type
Malfunction
Date Received
July 22, 2013
Report Date
July 3, 2013
Manufacturer
UNKNOWN
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A TREX2 WHEELCHAIR HAD NON FUNCTIONAL WHEEL LOCKS WHEN TRYING TO STOP THE CHAIR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
341879 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN TREX2

Patients

Seq Age Sex Outcome Treatment
1 Other