BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4242419 · Received November 11, 2014

    Report

    Report Number
    1525712-2014-07800
    Event Type
    Malfunction
    Date Received
    November 11, 2014
    Report Date
    November 6, 2014
    Manufacturer
    UNKNOWN
    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

    END USER REPORTED THAT THE RIGHT ARM ON HER TREX2 WHEELCHAIR KEEPS FLIPPING BACK WHEN SHE IS TRYING TO TRANSFER BACK INTO THE CHAIR, SHE LEANS HEAVILY ON THE ARM WHEN TRANSFERRING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    727795 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR UNKNOWN TREX2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other