BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3022162 · Received March 26, 2013

    Report

    Report Number
    3004493922-2013-00676
    Event Type
    Malfunction
    Date Received
    March 26, 2013
    Report Date
    February 27, 2013
    Manufacturer
    INVACARE SUZHOU
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER WHEN USER HITS BUMP CHAIR SHUTS OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    124225 POWERED WHEELCHAIR 890.3860 IOR INVACARE SUZHOU M51PSEMIRED

    Patients

    Seq Age Sex Outcome Treatment
    1 Other