BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUICKIE 2 WHEELCHAIR

    MDR report key: 61731 · Received January 13, 1997

    Report

    Report Number
    2082643-1997-00062
    Event Type
    Malfunction
    Date Received
    January 13, 1997
    Date of Event
    January 3, 1997
    Report Date
    January 10, 1997
    Manufacturer
    QUICKIE DESIGNS, INC.
    Product Code
    IOR
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REAR S/F DAB HEMI PNTD L Q2. DEALER CLAIMS FRAME IS CRACKED WHERE THE DEPTH ADJ BACK ATTACHES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICKIE 2 WHEELCHAIR WHEELCHAIR-MECHANICAL IOR QUICKIE DESIGNS, INC. NA P/N-620168

    Patients

    Seq Age Sex Outcome Treatment
    1 17 YR Other