BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 2893830 · Received January 2, 2013

    Report

    Report Number
    1525712-2013-00026
    Event Type
    Malfunction
    Date Received
    January 2, 2013
    Report Date
    January 2, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    INITIAL REPORT RECEIVED INDICATING WITH BACK AND FORTH MOVEMENT OF THE SWING AWAY JOYSTICK MOUNT, THE END OF CABLE PART #1127293 THAT ATTACHES INTO THE BACK OF THE JOYSTICK GETS PINCHED OR FRAYED ALLOWING THE CONTROLLER AND JOYSTICK TO NOT COMMUNICATE. IT WAS LEARNED THE REPORTER IS REPLACING THE ORIGINAL CABLE WITH A LONGER ONE THUS ADDING MORE LENGTH TO THE CABLE SO ITS NOT SO TIGHT. IT SEEMS TO BE RESOLVING THE ISSUE FOR HIM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    721 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSP

    Patients

    Seq Age Sex Outcome Treatment
    1 Other