BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3250824 · Received July 29, 2013

    Report

    Report Number
    9616091-2013-01331
    Event Type
    Malfunction
    Date Received
    July 29, 2013
    Report Date
    July 10, 2013
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES PART NUMBER 1111270 IS BROKEN. DAWN IS A FAMILY FRIEND AND WILL OBTAIN MORE INFORMATION AS TO HOW THIS WAS BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    353820 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX 9SL

    Patients

    Seq Age Sex Outcome Treatment
    1 Other