BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3377160 · Received September 30, 2013

    Report

    Report Number
    1525712-2013-08193
    Event Type
    Malfunction
    Date Received
    September 30, 2013
    Report Date
    September 20, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A MANUAL WHEELCHAIR HAD A BENT FRAME, ARMREST TUBING, FORK, AND SPOKES. ALSO, THE FOLDING BACK OF THE CHAIR WAS NOT STAYING UP; THE CASTERS WERE DAMAGED AND THE WHEELLOCK WAS NOT HOLDING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    493025 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET TA4

    Patients

    Seq Age Sex Outcome Treatment
    1 Other