inforMED
MalfunctionIOR

TRANSPORT 20 IN X 16 IN 9153637574

Received Jul 15, 2015

Report 1525712-2015-03888 · MDR key 4914652

Device

Generic name

Wheelchair, Mechanical

Model number

TA-4

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

THE END USER ALLEGED A BOLT FELL OFF THE BOTTOM OF THE CHAIR. HE STATES THE BOLT THAT HOLDS THE SHOCK ABSORBER TO THE SUSPENSION IS BROKEN. THE END USER ALLEGED THE CHAIR IS FOLDING IN ON ITSELF BUT THE DEALER COULDN'T CONFIRM ISSUE

Additional Manufacturer Narrative

SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE A SUPPLEMENTAL RECORD WILL BE FILED.