FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 4220215 · Received November 3, 2014

Report

Report Number
9616091-2014-02333
Event Type
Malfunction
Date Received
November 3, 2014
Report Date
October 14, 2014
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE TREX2 WHEELCHAIR WAS WELDED WRONG (CHAIR LEANS TO THE SIDE).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
701121 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREX2

Patients

Seq Age Sex Outcome Treatment
1 Other