BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4110251 · Received September 23, 2014

    Report

    Report Number
    3008262382-2014-01226
    Event Type
    Malfunction
    Date Received
    September 23, 2014
    Date of Event
    August 21, 2014
    Report Date
    September 4, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATES CUSTOMER REPORTED THAT CHARGER NOT CHARGING THROUGH JOYSTICK. DEALER TESTED AND SATES IT IS CHARGING BUT THE JOYSTICK IS NOT REGISTERING THE CHARGE. THE BATTERIES TESTED FINE AS WELL AS CHARGER. ORIGINAL JOYSTICK RECALL ORDER (B)(4), RETURNED JOYSTICK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    589679 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP M41SR20B

    Patients

    Seq Age Sex Outcome Treatment
    1 Other