BEUDAMED
    FDA Adverse Event Injury Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3092691 · Received May 3, 2013

    Report

    Report Number
    1525712-2013-03488
    Event Type
    Injury
    Date Received
    May 3, 2013
    Report Date
    April 9, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    LETTER RECEIVED FROM AN ATTORNEY REPORTED THE UPPER RUBBER MOUNT ON A JOYSTICK SEPARATED AND ALLOWED HIS CLIENT'S THUMB TO SLIP UNDER IT CAUSING THE WHEELCHAIR TO RAPIDLY ACCELERATE. THE USER'S TOE WAS INJURED AS A RESULT OF THIS INCIDENT. THE WHEELCHAIR INVOLVED HAS NOT BEEN SPECIFIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    194124 POWERED WHEELCHAIR 890.3860 ITI UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other