BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TRANSPORT 20 IN X 16 IN 9153637574

    MDR report key: 5032581 · Received August 26, 2015

    Report

    Report Number
    1525712-2015-04394
    Event Type
    Malfunction
    Date Received
    August 26, 2015
    Report Date
    August 5, 2015
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    CLIENT REPORTED WHEELCHAIR COLLAPSED (BACK NOT STAYING UP) MAINTENANCE SERVICE ATTENDED AND FOUND FRAME TO HAVE SNAPPED UNDERNEATH SEATING. THE REA AZALEA IS THE SAME /SIMILAR TO THE SOLARA 3G WHICH IS MANUFACTURED AND/OR MARKETED BY INVACARE IN THE U.S. THIS ALLEGED INCIDENT OCCURRED IN THE (B)(6).

    Description of Event or Problem · 1

    CLIENT REPORTED WHEELCHAIR COLLAPSED (BACK NOT STAYING UP) MAINTENANCE SERVICE ATTENDED AND FOUND FRAME TO HAVE SNAPPED UNDERNEATH SEATING. THE REA AZALEA IS THE SAME /SIMILAR TO THE SOLARA 3G WHICH IS MANUFACTURED AND/OR MARKETED BY INVACARE IN THE U.S. THIS ALLEGED INCIDENT OCCURRED IN THE (B)(6).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    566635 TRANSPORT 20 IN X 16 IN 9153637574 WHEELCHAIR, MECHANICAL IOR INVACARE TAYLOR STREET SOLARA 3G

    Patients

    Seq Age Sex Outcome Treatment
    1 Other