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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: INVAMEX INVACARE TRACER IV WHEELCHAIR; WHEELCHAIR, MECHANICAL

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INVAMEX INVACARE TRACER IV WHEELCHAIR; WHEELCHAIR, MECHANICAL Back to Search Results
Model Number T424RDAP
Device Problem Improper or Incorrect Procedure or Method (2017)
Patient Problems Crushing Injury (1797); Laceration(s) (1946)
Event Date 04/18/2023
Event Type  Injury  
Manufacturer Narrative
Based on available information, it seems that the underlying cause of the event was user error and did not result from a product malfunction.The t4 user manual warns, "to avoid injury or damage from moving parts: always keep hands and fingers clear of moving parts.Do not place hands or fingers on the underside of the seat frame rail when opening or closing the wheelchair.Do not sit or transfer into the wheelchair unless it is fully open and the seat frame rails are fully seated into the side frame h-blocks.".
 
Event Description
Invacare received a medwatch report from the fda stating that the patient¿s home health aid was opening the t424rdap wheelchair, when the patient sat down.In the process of sitting, the patient¿s left ring finger and pinky finger were caught under the left side of the seat.The patient sustained a partial amputation of the left ring finger and a laceration to the left pinky finger.Details of medical treatment received were not provided.
 
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Brand Name
INVACARE TRACER IV WHEELCHAIR
Type of Device
WHEELCHAIR, MECHANICAL
Manufacturer (Section D)
INVAMEX
102 parque industrial manimex
reynosa, tamaulipas 88780
MX  88780
Manufacturer (Section G)
INVAMEX
102 parque industrial manimex
reynosa, tamaulipas 88780
MX   88780
Manufacturer Contact
jason fiest
one invacare way
elyria, OH 44035
8003336900
MDR Report Key17106047
MDR Text Key317046441
Report Number9616091-2023-00012
Device Sequence Number1
Product Code IOR
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Health Professional
Reporter Occupation Nurse
Type of Report Initial
Report Date 05/16/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/12/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Device Model NumberT424RDAP
Device Catalogue NumberT424RDAP
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received05/16/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Other;
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