BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3923640 · Received July 9, 2014

    Report

    Report Number
    1525712-2014-03599
    Event Type
    Malfunction
    Date Received
    July 9, 2014
    Date of Event
    May 1, 2014
    Report Date
    June 6, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CONSUMER CLAIMS THE FRAME HAS BEEN BENT SINCE THE DAY HE RECEIVED IT. ALL 4 WHEELS ARE ON THE GROUND WHEN HE IS SITTING IN IT, BUT THEY WHEELS WILL SOMETIMES FLUTTER WHEN TRYING TO PUSH THE CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    400542 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET CT7A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other