FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3250940 · Received July 29, 2013

Report

Report Number
1525712-2013-06241
Event Type
Malfunction
Date Received
July 29, 2013
Report Date
July 11, 2013
Manufacturer
INVACARE TAYLOR STREET
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THE SPRING IN THE LEFT WHEEL LOCK OF THE CT7A MANUAL WHEELCHAIR HAS BROKEN OFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
353306 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET CT7A

Patients

Seq Age Sex Outcome Treatment
1 Other