BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 2912554 · Received January 13, 2013

    Report

    Report Number
    3004493922-2013-00103
    Event Type
    Malfunction
    Date Received
    January 13, 2013
    Report Date
    January 13, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THAT WHEN THE JOYSTICK IS IN REVERSE, IT DOES NOT WORK WHEN YOU GO TO PULL BACK TO THE LEFT OR RIGHT. IT TAKES OFF GOING BACKWARDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    19483 POWERED WHEELCHAIR 890.3860 ITI INVACARE SUZHOU M41

    Patients

    Seq Age Sex Outcome Treatment
    1 Other