FDA Adverse Event Malfunction Summary report: N

MECHANICAL (MANUAL) WHEELCHAIR

MDR report key: 4240796 · Received November 10, 2014

Report

Report Number
9616091-2014-02416
Event Type
Malfunction
Date Received
November 10, 2014
Report Date
October 22, 2014
Manufacturer
INVAMEX
Product Code
IOR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

CUSTOMER ALLEGES THAT THE BUTTON, ON THE LOCK TUBE, ON THE SPREADER BAR, ON THE BACK OF THIS NEW CHAIR WILL NOT POP OUT TO LOCK IT IN PLACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
721664 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TRSX5RC

Patients

Seq Age Sex Outcome Treatment
1 Other