BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4213481 · Received October 30, 2014

    Report

    Report Number
    9616091-2014-02296
    Event Type
    Malfunction
    Date Received
    October 30, 2014
    Report Date
    October 8, 2014
    Manufacturer
    INVAMEX
    Product Code
    IOR
    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

    (B)(4) DEALER REPORTS THAT OUT OF BOX UNIT HAS SPOKES BROKEN, ALREADY PACKAGED UP COULD NOT IDENTIFY WHICH SIDE, NO DAMAGE TO THE BOX.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    695509 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREX28RFP

    Patients

    Seq Age Sex Outcome Treatment
    1 Other