BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3952073 · Received July 23, 2014

    Report

    Report Number
    9616091-2014-01269
    Event Type
    Malfunction
    Date Received
    July 23, 2014
    Report Date
    June 16, 2014
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE BRAKES HAVE BEEN LOSE FROM THE START.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    431595 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX SOLARA3G

    Patients

    Seq Age Sex Outcome Treatment
    1 74 Other