BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3150867 · Received June 6, 2013

    Report

    Report Number
    1525712-2013-04422
    Event Type
    Malfunction
    Date Received
    June 6, 2013
    Report Date
    May 9, 2013
    Manufacturer
    UNKNOWN
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE ON / OFF BUTTON ON THE JOYSTICK FOR AN UNKNOWN PRONTO POWER CHAIR IS STICKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    251222 POWERED WHEELCHAIR 890.3860 ITI UNKNOWN UNKNOWN PRONTO

    Patients

    Seq Age Sex Outcome Treatment
    1 Other