BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3844583 · Received June 3, 2014

    Report

    Report Number
    1525712-2014-02794
    Event Type
    Malfunction
    Date Received
    June 3, 2014
    Date of Event
    February 28, 2014
    Report Date
    February 28, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    END USERS MOTHER STATED THAT HER SON'S TDXSP-MCG POWER CHAIR WAS ON THE SCHOOL BUS AND WOULD NOT MOVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    324131 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSP-MCG

    Patients

    Seq Age Sex Outcome Treatment
    1 15 Other