BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3955260 · Received July 24, 2014

    Report

    Report Number
    3008262382-2014-00357
    Event Type
    Malfunction
    Date Received
    July 24, 2014
    Report Date
    June 16, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER CUSTOMER MOTORS ARE LEAKING OIL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    433309 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP M51

    Patients

    Seq Age Sex Outcome Treatment
    1 Other