FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3163451
·
Received June 11, 2013
Report
- Report Number
- 3004493922-2013-01243
- Event Type
- Malfunction
- Date Received
- June 11, 2013
- Report Date
- May 14, 2013
- Manufacturer
- INVACARE SUZHOU
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATES RIGHT MOTOR GEARBOX IS BINDING UP, WILL NOT DISENGAGE FOR FREEWHEEL, WILL NOT DRIVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 264268 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE SUZHOU | M51PRED20GV |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |