BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUICKIE 2 WHEELCHAIR

    MDR report key: 50443 · Received November 19, 1996

    Report

    Report Number
    2082643-1996-00449
    Event Type
    Malfunction
    Date Received
    November 19, 1996
    Date of Event
    October 29, 1996
    Report Date
    November 18, 1996
    Manufacturer
    QUICKIE DESIGNS INC.
    Product Code
    IOR
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REAS S/F DAB PNTD L QZ. DEALER CLAIMS FRAME 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