BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3840913 · Received May 30, 2014

    Report

    Report Number
    1531186-2014-02004
    Date Received
    May 30, 2014
    Date of Event
    April 16, 2014
    Report Date
    April 16, 2014
    Manufacturer
    GOODBABY
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    RUBBER COMING OFF OF THE TIRES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    318570 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR GOODBABY TREX28R

    Patients

    Seq Age Sex Outcome Treatment
    1 84 Other