FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3232953
·
Received July 18, 2013
Report
- Report Number
- 1525712-2013-05862
- Event Type
- Malfunction
- Date Received
- July 18, 2013
- Report Date
- June 27, 2013
- Manufacturer
- INVACARE TAYLOR STREET
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PER TBM THE CHAIR IS TILTING FORWARD AND LEFT CASTER COMES OFF THE GROUND. THE CHAIR IS NOT LOCKING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 336335 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE TAYLOR STREET | M91R |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |