FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3203066
·
Received July 2, 2013
Report
- Report Number
- 1525712-2013-05292
- Event Type
- Malfunction
- Date Received
- July 2, 2013
- Report Date
- June 10, 2013
- Manufacturer
- INVACARE TAYLOR STREET
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATES THE CHAIR IS STOPPING BUT NO FLASH CODE. HE STATES ITS USUALLY LATER IN THE DAY AND ONLY WHEN ON ROUGHER TERRAIN LIKE OFFROAD, OFF OF CEMENT. COULD BE BATTERY RELATED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 302545 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE TAYLOR STREET | M51PR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |