BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4120176 · Received September 25, 2014

    Report

    Report Number
    1525712-2014-06341
    Event Type
    Malfunction
    Date Received
    September 25, 2014
    Report Date
    July 1, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER CALLED IN AND STATED THAT THE FRAME WAS BENT ON THE CHAIR. WHEN DEALER WAS ASKED WHAT CAUSED THE ISSUE, DEALER STATED THAT HE DOES NOT HAVE ENOUGH INFORMATION TO PROVIDE TO ME AT THIS TIME AND WILL CALL BACK AT A LATER DATE WHEN HE CAN SPEAK TO THE TECHNICIAN THAT REQUESTED THE QUOTE. UNABLE TO OBTAIN ANY ADDITIONAL INFORMATION AT THIS TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    599191 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE TAYLOR STREET RVL

    Patients

    Seq Age Sex Outcome Treatment
    1 Other