BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3930201 · Received July 11, 2014

    Report

    Report Number
    1525712-2014-03621
    Event Type
    Malfunction
    Date Received
    July 11, 2014
    Date of Event
    May 16, 2014
    Report Date
    June 6, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    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 ALLEGED THAT THE WHEELS ARE TURNING ON THE LEFT SIDE MOTOR WHEN THE JOYSTICK IS OFF AND THAT WHEN THE POWER IS OFF HE CAN STILL TURN THE WHEELS ON THE CHAIR A QUARTER TURN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    406257 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET FDX-MCG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other