FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3771620
·
Received April 24, 2014
Report
- Report Number
- 1525712-2014-02089
- Event Type
- Malfunction
- Date Received
- April 24, 2014
- Report Date
- March 24, 2014
- Manufacturer
- INVACARE TAYLOR STREET
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
END USER STATES THE CHAIR IS LEAKING GREASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 249777 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE TAYLOR STREET | M51PSEMIRED |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Congenital Anomaly |