BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3250524 · Received July 26, 2013

    Report

    Report Number
    1525712-2013-06209
    Event Type
    Malfunction
    Date Received
    July 26, 2013
    Report Date
    July 10, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES SHE WAS PRESSING DOWN ON THE ARM OF HER CHAIR AND A SCREW WENT THROUGH THE JOYSTICK CABLE AND THE JOYSTICK WILL NOT TURN ON. CONSUMER ALLEGES WHEN THE SCREW TOUCHES THE CABLE IT SPARKS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    350118 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET M71

    Patients

    Seq Age Sex Outcome Treatment
    1 Other