BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4110245 · Received September 23, 2014

    Report

    Report Number
    3008262382-2014-01224
    Event Type
    Malfunction
    Date Received
    September 23, 2014
    Report Date
    September 3, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THEY REPLACED THE JOYSTICK BUT STATES THE CHAIR DOESN¿T GO IN THE CORRECT DIRECTION WHEN GIVING COMMANDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    589678 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET M51PSEMIBLUE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other