BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ELECTRIC POSITIONING CHAIR

    MDR report key: 3022200 · Received March 26, 2013

    Report

    Report Number
    1525712-2013-02330
    Event Type
    Malfunction
    Date Received
    March 26, 2013
    Report Date
    February 27, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    INO
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    THIS COMPLAINT IS STILL UNDER INVESTIGATION. DEPUY WILL NOTIFY THE FDA OF THE RESULTS OF THIS INVESTIGATION ONCE IT HAS BEEN COMPLETED. THE CORRECTION/REMOVAL REPORTING NUMBER LISTED APPLIES TO THE CORRESPONDING PRODUCT CODE SOLD DOMESTICALLY.

    Description of Event or Problem · 1

    END USER STATES THE FRONT CASTER IS BENT AT THE BOLT PER END USER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    124652 ELECTRIC POSITIONING CHAIR 890.3110 INO INVACARE TAYLOR STREET HTR5500

    Patients

    Seq Age Sex Outcome Treatment
    1 Other