BEUDAMED
    FDA Adverse Event Summary report: N

    ELECTRIC WHEELCHAIR

    MDR report key: 12671 · Received April 11, 1994

    Report

    Report Number
    MW4000354
    Date Received
    April 11, 1994
    Date of Event
    February 14, 1994
    Report Date
    February 25, 1994
    Manufacturer
    EVEREST & JENNINGS, INC.
    Product Code
    ITI
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    AN ELDERLY MALE AT A LOCAL RETIREMENT CENTER WAS SEVERELY BURNED ON 2/14/94 WHILE IN AN ELECTRIC WHEELCHAIR WHICH CAUGHT FIRE. VICTIM SUBSEQUENTLY DIED AT HOSP ON 2/24/94. EARLY INDICATION WAS THAT BATTERY PACK MAY HAVE SHORTED OUT CAUSING THE FIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ELECTRIC WHEELCHAIR ITI EVEREST & JENNINGS, INC. 251362

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR