BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAGIC MOBILITY

    MDR report key: 7644597 · Received June 28, 2018

    Report

    Report Number
    3003650116-2018-00062
    Event Type
    Malfunction
    Date Received
    June 28, 2018
    Date of Event
    June 7, 2018
    Report Date
    June 28, 2018
    Manufacturer
    MAGIC MOBILITY
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CLIENT REPORTED THAT THERE WAS A LOOSE WHEEL NUT. CHAIR WAS LESS THAN ONE MONTH OLD. CLIENT WAS NOT INJURED. WHEEL DID NOT COME OFF. THE WHEEL AREA WAS MAKING AN UNUSUAL NOISE AND THIS ALERTED THE CLIENT. CLIENT TIGHTENED WHEEL NUT. MAGIC SENT REPLACEMENT TO ENSURE THAT THERE THE NUT WAS IN AS NEW CONDITION. CLIENT HAS NOT REPORTED ANY FURTHER PROBLEM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    490848 MAGIC MOBILITY EXTREME X8 ITI MAGIC MOBILITY X8

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR