BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3800064 · Received May 8, 2014

    Report

    Report Number
    3004493922-2014-00668
    Event Type
    Malfunction
    Date Received
    May 8, 2014
    Report Date
    April 4, 2014
    Manufacturer
    INVACARE SUZHOU
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4) POWER WHEEL CHAIR DRIVES FOR A LITTLE WHILE THEN STOPS. UNIT HAS BEEN SITTING IN A WAREHOUSE FOR 5-6 MONTHS BEFORE USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    279488 POWERED WHEELCHAIR 890.3860 ITI INVACARE SUZHOU M51PSEMIBLUE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other