FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3241858 · Received July 22, 2013

Report

Report Number
9616091-2013-01274
Event Type
Malfunction
Date Received
July 22, 2013
Report Date
July 1, 2013
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MT, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT A 9XT MANUAL WHEELCHAIR HAD A WOBBLY CASTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
341320 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX 9XT

Patients

Seq Age Sex Outcome Treatment
1 Other