BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4180021 · Received October 17, 2014

    Report

    Report Number
    1531186-2014-04925
    Date Received
    October 17, 2014
    Report Date
    September 26, 2014
    Manufacturer
    GOODBABY
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    HI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER THE WHEELS ARE ROLLING OFF OF THE RIM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    663064 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR GOODBABY TREX28R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other