BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WHEELCHAIR COMPONENTS

    MDR report key: 3872747 · Received June 13, 2014

    Report

    Report Number
    1525712-2014-02964
    Event Type
    Malfunction
    Date Received
    June 13, 2014
    Date of Event
    May 16, 2014
    Report Date
    May 16, 2014
    Manufacturer
    UNKNOWN
    Product Code
    KNN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER REPORTS THE UPPER SUPPORT WILL GO UP, BUT WON'T COME DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    349604 WHEELCHAIR COMPONENTS 890.3920 KNN UNKNOWN T94HE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other