BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3171253 · Received June 14, 2013

    Report

    Report Number
    1525712-2013-04673
    Event Type
    Malfunction
    Date Received
    June 14, 2013
    Report Date
    May 20, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES ERROR MESSAGES COME UP BUT CANNOT DUPLICATE. HE STATES THEY ARE ALREADY ABOUT TO REPLACE THE BATTERIES. HE THINKS IT IS MOTOR FAULTS. GAVE TROUBLESHOOTING ADVICE AND DEALER TO CALL BACK AFTER TROUBLESHOOTING FURTHER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    272168 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSP-MCG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other