BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4221307 · Received November 3, 2014

    Report

    Report Number
    1525712-2014-07583
    Event Type
    Malfunction
    Date Received
    November 3, 2014
    Report Date
    October 14, 2014
    Manufacturer
    UNKNOWN
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE PATIENT LEANS ON THE ARMS WHEN TRANSFERRING AND BROKE THE SOCKET

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    701462 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN TRSX5

    Patients

    Seq Age Sex Outcome Treatment
    1 Other