FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3083764
·
Received April 29, 2013
Report
- Report Number
- 1525712-2013-03379
- Event Type
- Malfunction
- Date Received
- April 29, 2013
- Report Date
- April 4, 2013
- Manufacturer
- INVACARE TAYLOR STREET
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DE, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PROVIDER STATES ABOUT 15 E41 ERROR CODES IN FAULT LOG CHAIR INTERMITTENTLY STOPS AND FREEZES UP. THEN TURNS UNIT OFF AGAIN AND BACK ON AND THE CHAIR WILL RUN. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 185443 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE TAYLOR STREET | 3GAR-CG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |