FDA Adverse Event
Malfunction
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 3241892
·
Received July 22, 2013
Report
- Report Number
- 1056571-2013-00006
- Event Type
- Malfunction
- Date Received
- July 22, 2013
- Report Date
- July 2, 2013
- Manufacturer
- INVACARE TOP END
- Product Code
- IOR
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
THE PROVIDER STATED THE ARM SOCKETS ARE BUSTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 340297 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | INVACARE TOP END | CT7A |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |