BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3801650 · Received May 9, 2014

    Report

    Report Number
    1525712-2014-02371
    Event Type
    Malfunction
    Date Received
    May 9, 2014
    Report Date
    April 1, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    RIGHT SIDE CROSS BRACE BROKE OFF SEAT RAIL ON A PROX4F70 MANUAL WHEEL CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    280675 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET PROX4F70

    Patients

    Seq Age Sex Outcome Treatment
    1 Other