BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3833626 · Received May 27, 2014

    Report

    Report Number
    1525712-2014-02676
    Event Type
    Malfunction
    Date Received
    May 27, 2014
    Report Date
    April 14, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    A 3GTQ-TS POWER WHEEL CHAIR HAS A BROKEN ON/OFF SWITCH FROM CATCHING THE DISPLAY ON THE RAIL WHILE BACKING UP RAMP.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    310290 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET 3GTQ-TS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other