BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3830726 · Received May 23, 2014

    Report

    Report Number
    9616091-2014-00933
    Event Type
    Malfunction
    Date Received
    May 23, 2014
    Report Date
    April 14, 2014
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PROVIDER ALLEGES THE SEAT UPHOLSTERY IS RIPPING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    308579 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREX2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other