BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4120148 · Received September 25, 2014

    Report

    Report Number
    3008262382-2014-01284
    Event Type
    Malfunction
    Date Received
    September 25, 2014
    Date of Event
    September 8, 2014
    Report Date
    September 8, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AR, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    END USER STATES THE DEALER KEEPS TELLING HIM THAT THE MOTORS ARE BAD AND NEEDS REPLACED. THE END USER SAYS THAT THE CHAIR WILL GO 30 FEET THEN STOPS, AND THE WRENCH LIGHT IS FLASHING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    599307 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP M51

    Patients

    Seq Age Sex Outcome Treatment
    1 Other