BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3932950 · Received July 14, 2014

    Report

    Report Number
    3008262382-2014-00281
    Event Type
    Malfunction
    Date Received
    July 14, 2014
    Report Date
    June 9, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER CHARGED; AND GREEN LIGHTS ON, UNIT TRIES TO MOVE FORWARD GOES A LITTLE BIT AND STOPS, DOES THE SAME IN REVERSE. UNIT POWERS OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    411297 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP M41RSOLID20R

    Patients

    Seq Age Sex Outcome Treatment
    1 Other