FDA Adverse Event Malfunction Summary report: N

POWERED WHEELCHAIR

MDR report key: 3163604 · Received June 11, 2013

Report

Report Number
1525712-2013-04571
Event Type
Malfunction
Date Received
June 11, 2013
Report Date
May 14, 2013
Manufacturer
UNKNOWN
Product Code
ITI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

BATTERIES WILL NOT HOLD CHARGE PER END USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
264135 POWERED WHEELCHAIR 890.3860 ITI UNKNOWN M51

Patients

Seq Age Sex Outcome Treatment
1 Other