BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4091752 · Received September 16, 2014

    Report

    Report Number
    1525712-2014-05888
    Event Type
    Malfunction
    Date Received
    September 16, 2014
    Report Date
    August 26, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ADVISED THAT THE WHEELS ON HER CHAIR ARE BALD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    572762 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET XTRA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other