BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3790558 · Received May 5, 2014

    Report

    Report Number
    1525712-2014-02289
    Event Type
    Malfunction
    Date Received
    May 5, 2014
    Date of Event
    February 7, 2014
    Report Date
    February 14, 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

    STOPPERS ON ARM BASE OF A (B)(4) POWER WHEEL CHAIR ARE WORN DUE TO END USER LIFTING ARMS TO TRANSFER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    268290 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSP-CG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other