FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3090781
·
Received May 2, 2013
Report
- Report Number
- 3004493922-2013-00971
- Event Type
- Malfunction
- Date Received
- May 2, 2013
- Report Date
- April 8, 2013
- Manufacturer
- INVACARE SUZHOU
- Product Code
- ITI
- 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
DEALER STATES JOYSTICK WILL NOT TURN CHAIR. DEALER STATES TRIED A DIFFERENT JOYSTICK AND CHAIR TURNED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 192147 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE SUZHOU | M51PSEMIRED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |