BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3252467 · Received July 29, 2013

    Report

    Report Number
    1525712-2013-06265
    Event Type
    Malfunction
    Date Received
    July 29, 2013
    Report Date
    July 12, 2013
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER STATES ONE OF THE MOTORS ON HER M51P POWER CHAIR IS PULLING TO THE RIGHT SIDE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    352922 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET M51P

    Patients

    Seq Age Sex Outcome Treatment
    1 Other