BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3911898 · Received July 3, 2014

    Report

    Report Number
    3008262382-2014-00198
    Event Type
    Malfunction
    Date Received
    July 3, 2014
    Date of Event
    June 2, 2014
    Report Date
    June 2, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES THAT THE CHARGER HAS NO OUTPUT. DEALER OPENED UNIT AND IT APPEARS TO HAVE CAUGHT FIRE... REPLACING UNDER WARRANTY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    390251 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP M41SRR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other