BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3230598 · Received July 16, 2013

    Report

    Report Number
    1525712-2013-05841
    Event Type
    Malfunction
    Date Received
    July 16, 2013
    Report Date
    June 26, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THE FDX POWERED WHEELCHAIR ELEVATES ON IT'S OWN AND THE PATIENT IS UNABLE TO LOWER IT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    330017 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET FDX

    Patients

    Seq Age Sex Outcome Treatment
    1 Other