BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3062276 · Received April 16, 2013

    Report

    Report Number
    1525712-2013-02932
    Event Type
    Malfunction
    Date Received
    April 16, 2013
    Report Date
    March 20, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGED THAT WHEN HE WAS GOING UP ON THE RAMP WITH THE CHAIR THAT ALL THE LIGHTS STARTED FLASHING AND IT WOULD NOT MOVE ANYWHERE. HE STATED THAT HE HAD TO TURN IT OFF AND TURN IT BACK ON TO GO ANYWHERE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    163740 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET M91

    Patients

    Seq Age Sex Outcome Treatment
    1 Other