BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 3984498 · Received August 6, 2014

    Report

    Report Number
    1525712-2014-04450
    Event Type
    Malfunction
    Date Received
    August 6, 2014
    Report Date
    July 7, 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 STATED THE WHEN THE CONSUMER IS RECLINED BACK THE UNIT STOPS SOMETIMES. DEALER STATED THE CONSUMER HAS TO PLAY AROUND WITH THE JOYSTICK IN ORDER FOR THE CHAIR TO FUNCTION AGAIN. DEALER STATED THERE WERE NO INJURIES ASSOCIATED WITH THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    459771 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET 3GTQ3-MCG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other