BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4113033 · Received September 24, 2014

    Report

    Report Number
    3002416487-2014-00096
    Event Type
    Malfunction
    Date Received
    September 24, 2014
    Report Date
    September 3, 2014
    Manufacturer
    INVACARE CANADA KIRKLAND
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER, BRAKE EXTENSIONS BREAKING OFF WHEEL LOCKS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    593242 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE CANADA KIRKLAND MYON

    Patients

    Seq Age Sex Outcome Treatment
    1 Other