BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL (MANUAL) WHEELCHAIR

    MDR report key: 4242485 · Received November 11, 2014

    Report

    Report Number
    9616091-2014-02437
    Event Type
    Malfunction
    Date Received
    November 11, 2014
    Report Date
    October 23, 2014
    Manufacturer
    INVAMEX
    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

    THE DEALER STATES THAT WHEN THE CHAIR WAS RECEIVED, ONE REAR WHEEL HAD A BROKEN SPOKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    727030 MECHANICAL (MANUAL) WHEELCHAIR 890.3850 IOR INVAMEX TREX26RFP

    Patients

    Seq Age Sex Outcome Treatment
    1 Other