BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4122630 · Received September 26, 2014

    Report

    Report Number
    1525712-2014-06389
    Event Type
    Malfunction
    Date Received
    September 26, 2014
    Report Date
    September 4, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES, SEAT IS SAGGING ON A T4 WHEELCHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    601921 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN T4

    Patients

    Seq Age Sex Outcome Treatment
    1 Other