MalfunctionIOR
CATALYST 5
Received Feb 21, 2018 · Event occurred Jan 22, 2018
Report 3005905321-2018-04872 · MDR key 7287150
Device
Generic name
Folding Mechanical Wheelchair
Manufacturer
Ki Mobility LlcModel number
CATALYST 5Catalog number
N/A
Lot number
N/A
Product problems
- Break
Patient
Not reported
- Fall
- Fall
Narrative
Description of Event or Problem
END USER STATED THAT THE LEFT FRONT CASTER HOUSING BOLT BROKE CAUSING HIM TO BE THROWN FROM THE CHAIR, HE TUMBLED TO BOTTOM OF RAMP STRIKING A 4X4 POST.