BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 2970780 · Received February 20, 2013

    Report

    Report Number
    1525712-2013-01312
    Event Type
    Malfunction
    Date Received
    February 20, 2013
    Report Date
    February 20, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NM, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER (B)(6) THE DOWN PART OF HANGER WELDMENT WHERE FRONT RIGGING HOOKS ONTO GOT BENT IN TOWARDS THE CHAIR. AS IF THE CHAIR RAN STRAIGHT INTO SOMETHING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    74797 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDX3-PS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other