FDA Adverse Event
Summary report: N
MECHANICAL (MANUAL) WHEELCHAIR
MDR report key: 4240389
·
Received November 10, 2014
Report
- Report Number
- 9616091-2014-02409
- Date Received
- November 10, 2014
- Date of Event
- October 23, 2014
- Report Date
- November 7, 2014
- Manufacturer
- INVAMEX
- Product Code
- IOR
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATED THAT FACILITY, (B)(6), REPORTED THAT A PATIENT ALLEGEDLY GOT THEIR HANDS STUCK ON THE SIDE OF THE SEAT FRAME WHILE TRYING TO PUT THE PATIENT IN THE (B)(4) WHEELCHAIR. UNSPECIFIED INJURY. NO MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 722503 | MECHANICAL (MANUAL) WHEELCHAIR | 890.3850 | IOR | INVAMEX | T424RFA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |