BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3932539 · Received July 14, 2014

    Report

    Report Number
    1525712-2014-03643
    Event Type
    Malfunction
    Date Received
    July 14, 2014
    Date of Event
    May 6, 2014
    Report Date
    June 6, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DEALER STATED THAT THE WHEELS ON A TDXSP-MCG POWER CHAIR DON'T MOVE SMOOTHLY CAUSING CHAIR TO HESITATE. ALSO STATED IS THAT IT IS HARD TO GET THE CHAIR TO RECLINE AND OUT OF RECLINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    409604 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSP-MCG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other