BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4123474 · Received September 26, 2014

    Report

    Report Number
    1525712-2014-06405
    Event Type
    Malfunction
    Date Received
    September 26, 2014
    Report Date
    August 14, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ND, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER ALLEGED WHEN PLUGGING THE CHARGER IN THEY HEARD A SPARKING SOUND AND THE CHARGER WILL NOT WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    602351 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSI

    Patients

    Seq Age Sex Outcome Treatment
    1 Other