FDA Adverse Event Malfunction Summary report: N

POWERED WHEELCHAIR

MDR report key: 3954420 · Received July 24, 2014

Report

Report Number
1525712-2014-03949
Event Type
Malfunction
Date Received
July 24, 2014
Report Date
June 16, 2014
Manufacturer
INVACARE TAYLOR STREET
Product Code
ITI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER ALLEGED THAT THE JOYSTICK WILL NOT POWER ON DUE TO LOW VOLTAGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
434679 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSP-CG

Patients

Seq Age Sex Outcome Treatment
1 Other