BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4231673 · Received November 6, 2014

    Report

    Report Number
    1031452-2014-17808
    Event Type
    Malfunction
    Date Received
    November 6, 2014
    Report Date
    October 17, 2014
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE FORK ON THE S900 WHEEL CHAIR WAS BENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    713489 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVACARE FLORIDA OPERATIONS S900

    Patients

    Seq Age Sex Outcome Treatment
    1 Other