BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 3961859 · Received July 28, 2014

    Report

    Report Number
    1531186-2014-02815
    Date Received
    July 28, 2014
    Report Date
    June 23, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THAT THE (B)(4) FOOTREST THEY ORDER FOR THEIR VERANDA STANDARD WHEELCHAIR WILL HOOK ON THE CHAIR BUT WILL NOT LOCK INTO PLACE. PROVIDER DID NOT SPECIFY HOW MANY TIMES THIS HAPPENED. PROVIDER ADVISED ACCORDING TO OUR INFORMATION THESE TWO MODEL SHOULD BE COMPATIBLE BUT THEY ARE NOT FROM THEIR EXPERIENCE. NO ADDITIONAL INFORMATION PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    439735 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN V18RFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other