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 |