BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUICKIE 2 WHEELCHAIR

    MDR report key: 46766 · Received November 5, 1996

    Report

    Report Number
    2082643-1996-00381
    Event Type
    Malfunction
    Date Received
    November 5, 1996
    Date of Event
    October 18, 1996
    Report Date
    November 4, 1996
    Manufacturer
    QUICKIE DESIGNS, INC.
    Product Code
    IOR
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REAR S/F DAB PAINTED L QW. REAR S/F DAB PAINTED R 12. DEALER CLAIMS FRAMES BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICKIE 2 WHEELCHAIR WHEELCHAIR - MECHANICAL IOR QUICKIE DESIGNS, INC. NA P/N-620163

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other