BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3801635 · Received May 9, 2014

    Report

    Report Number
    1525712-2014-02369
    Event Type
    Malfunction
    Date Received
    May 9, 2014
    Date of Event
    March 31, 2014
    Report Date
    March 31, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    TILT CABLE BROKE ABOUT AN INCH AND A HALF FROM WHERE IT CONNECTS TO THE LEVER ON AN ORBIT STANDARD WHEEL CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    280230 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET ORBIT

    Patients

    Seq Age Sex Outcome Treatment
    1 33 Other