BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INVACARE MATRX FLOVAIR GENTLE CONTOUR 16X18 9153653320

    MDR report key: 4340330 · Received December 18, 2014

    Report

    Report Number
    1219590-2014-00213
    Event Type
    Malfunction
    Date Received
    December 18, 2014
    Report Date
    November 25, 2014
    Manufacturer
    INVACARE CLEVELAND STREET
    Product Code
    IMP
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NV, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER THE GEL HAS COMPLETELY EVAPORATED FRO THE COUSHION..

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    832985 INVACARE MATRX FLOVAIR GENTLE CONTOUR 16X18 9153653320 CUSHION, WHEELCHAIR IMP INVACARE CLEVELAND STREET ITFG68

    Patients

    Seq Age Sex Outcome Treatment
    1 Other