BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3953314 · Received July 23, 2014

    Report

    Report Number
    1525712-2014-03947
    Event Type
    Malfunction
    Date Received
    July 23, 2014
    Report Date
    June 16, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UT, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE POWER CHAIR STOPPED WORKING AND AN ELECTRIC BURN ODOR NOTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    432070 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET CONSUMERPOWER

    Patients

    Seq Age Sex Outcome Treatment
    1 78 Other