BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3821830 · Received May 20, 2014

    Report

    Report Number
    1525712-2014-02542
    Event Type
    Malfunction
    Date Received
    May 20, 2014
    Date of Event
    March 30, 2014
    Report Date
    April 7, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER ALLEGES THE SCREWS ARE COMING OUT CAUSING THE FRONT CASTERS AND LEGREST ARE HARD TO GO UP/DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    300294 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN TREX2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other