BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUICKIE 3RX

    MDR report key: 61465 · Received January 10, 1996

    Report

    Report Number
    2082643-1997-00051
    Event Type
    Malfunction
    Date Received
    January 10, 1996
    Date of Event
    December 31, 1996
    Manufacturer
    QUICKIE DESIGNS, INC.
    Product Code
    IOR
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ORIGINALLY SHIPPED 5-5-88.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICKIE 3RX WHEELCHAIR-MECHANICAL IOR QUICKIE DESIGNS, INC. NA P/N-672816

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other