FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 4201874 · Received October 27, 2014

Report

Report Number
9616091-2014-02256
Event Type
Malfunction
Date Received
October 27, 2014
Report Date
October 23, 2014
Manufacturer
INVAMEX
Product Code
IOR
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATED THAT THE RIGHT ARMPAD AND BOTH CLOTHING GUARDS ARE CRACKED ON THE TREX28RF WHEELCHAIR. THE SIDE GUARDS COULD BE CRACKING BECAUSE USER PUTS EXTREME WEIGHT ON THE ARMS WHEN TRANSFERRING. USER REPORTED THAT THE CLOTHING GUARDS WERE PINCHING HER AND RUBBING AGAINST HER SKIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
681307 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREX28RF

Patients

Seq Age Sex Outcome Treatment
1 Other