FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 3942563 · Received July 17, 2014

Report

Report Number
9616091-2014-01228
Event Type
Malfunction
Date Received
July 17, 2014
Report Date
June 12, 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

DEALER STATES THAT THE WHEELS ARE OUT OF ROUND. WOBBLY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
418401 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX 9RC

Patients

Seq Age Sex Outcome Treatment
1 Other