BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3780959 · Received April 30, 2014

    Report

    Report Number
    1525712-2014-02186
    Event Type
    Malfunction
    Date Received
    April 30, 2014
    Date of Event
    February 20, 2014
    Report Date
    February 21, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE JOYSTICK CABLE CASING FOR A M51P POWER CHAIR IS COMING APART.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    260406 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET M51P

    Patients

    Seq Age Sex Outcome Treatment
    1 78 Other