BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4103176 · Received September 19, 2014

    Report

    Report Number
    9616091-2014-01933
    Event Type
    Malfunction
    Date Received
    September 19, 2014
    Report Date
    August 29, 2014
    Manufacturer
    INVAMEX
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WV, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER STATES THIS CHAIR IS FOR HIS DOCTOR OFFICE AND THE RIGHT CASTER IS BROKEN AT THE SPOKES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    581539 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREX20R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other