BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4070899 · Received September 9, 2014

    Report

    Report Number
    1531186-2014-03923
    Date Received
    September 9, 2014
    Report Date
    August 14, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES, THE LEGREST RUBBED AGAINST THE CONSUMERS LEG, AND HAS SORES ON THE SIDE OF THE CALVES. CUSTOMER STATED THIS WAS ON A T4 WHEELCHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    555083 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN T4

    Patients

    Seq Age Sex Outcome Treatment
    1 Other