BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    QUICKIE GPS WHEELCHAIR

    MDR report key: 64530 · Received January 22, 1997

    Report

    Report Number
    2082643-1997-00090
    Event Type
    Malfunction
    Date Received
    January 22, 1997
    Date of Event
    January 7, 1997
    Report Date
    January 16, 1997
    Manufacturer
    QUICKIE DESIGNS INC
    Product Code
    IOR
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    24" MAG 6S PNUE HR R PLST. QR AXLE MAG W/NUT. DEALER ALLEGES WHEEL FALLS OFF CHAIR WHILE CONSUMER IS IN IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 QUICKIE GPS WHEELCHAIR WHEELCHAIR - MECHANICAL IOR QUICKIE DESIGNS INC NA P/N-760751

    Patients

    Seq Age Sex Outcome Treatment
    1 22 YR Other