BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3892517 · Received June 24, 2014

    Report

    Report Number
    9616091-2014-01071
    Event Type
    Malfunction
    Date Received
    June 24, 2014
    Report Date
    May 27, 2014
    Manufacturer
    INVAMEX
    Product Code
    IOR
    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

    IT WAS REPORTED THAT THE RUBBER TIP ON THE WHEEL LOCK OF THE TREX26R WHEEL CHAIR IS DISINTEGRATING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    368251 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREX26R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other