BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 2962690 · Received February 14, 2013

    Report

    Report Number
    1525712-2013-01167
    Event Type
    Malfunction
    Date Received
    February 14, 2013
    Report Date
    February 14, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THE CHAIR HAS AN INTERMITTENT SHORT TO FRAME ERROR CODE WHICH COULD CAUSE A SHOCK TO THE USER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    64819 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDX3BASE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other