BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3953057 · Received July 23, 2014

    Report

    Report Number
    9616091-2014-01283
    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 Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ALLEGED THAT THE RIGHT REAR WHEEL IS WOBBLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    431064 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX T422RDA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other