BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3771761 · Received April 24, 2014

    Report

    Report Number
    1525712-2014-02114
    Event Type
    Malfunction
    Date Received
    April 24, 2014
    Report Date
    March 24, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER STATES THE FRAME BROKE AT THE RIGHT REAR BOTTOM AT WELD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    250154 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET 9XT

    Patients

    Seq Age Sex Outcome Treatment
    1 66 Other