FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3473405 · Received November 18, 2013

Report

Report Number
9616091-2013-02239
Event Type
Malfunction
Date Received
November 18, 2013
Report Date
November 6, 2013
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NE, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE WHEN THE USER PUSHES DOWN ON A MANUAL WHEELCHAIR'S CANES, THE BACK OF THE CHAIR FOLDS DOWN BY ITSELF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
597795 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX SOLARA3G

Patients

Seq Age Sex Outcome Treatment
1 Other