FDA Adverse Event
Malfunction
Summary report: N
POWERED WHEELCHAIR
MDR report key: 3965118
·
Received July 29, 2014
Report
- Report Number
- 1525712-2014-04092
- Event Type
- Malfunction
- Date Received
- July 29, 2014
- Report Date
- June 24, 2014
- Manufacturer
- INVACARE TAYLOR STREET
- Product Code
- ITI
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER PROVIDER, THE POTENTIOMETER IS FALLING, KNOB FELL OFF AND HARD TO GET TO.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 441218 | POWERED WHEELCHAIR | 890.3860 | ITI | INVACARE TAYLOR STREET | RIIB |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |