inforMED
MalfunctionIMM

ELEVATING LEGREST W/ADJ CALF PAD 9153649407

Received Feb 4, 2015

Report 9616091-2015-00394 · MDR key 4483272

Device

Generic name

Footrest, Wheelchair

Manufacturer

Invamex

Model number

GT95HC

Product problems

  • Break
  • Device Operates Differently Than Expected

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

PROVIDER STATES THE RELEASE LEVER BROKE OFF DUE TO THE WELD WAS NOT HOLDING, REFERENCE ORDER (B)(4). PROVIDER STATED ANOTHER COWORKER PLACED THE ORDER AND WILL CONNECT WITH HIM TO SEE WHAT IS TO BE DONE. NO FURTHER INFORMATION PROVIDED.