FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3051672
·
Received April 10, 2013
Report
- Report Number
- 1525712-2013-02724
- Event Type
- Malfunction
- Date Received
- April 10, 2013
- Report Date
- March 14, 2013
- Manufacturer
- INVACARE TAYLOR STREET
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATES NEUTRAL TESTING INTERMITTENTLY AND CHAIR DRIVES IN REVERSE ON ITS OWN. TRIED TO RECALIBRATE JOYSTICK THROW AND WOULDN'T TAKE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 152281 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE TAYLOR STREET | 3GRX-CG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |