BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4133007 · Received October 1, 2014

    Report

    Report Number
    3008262382-2014-01400
    Event Type
    Malfunction
    Date Received
    October 1, 2014
    Report Date
    September 12, 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

    PROVIDER ALLEGES THAT THE CONTROLLER ON A M51PSEMIRED POWER CHAIR IS NOT RECOGNIZING CHARGER VOLTAGE AND THE LEDS ON THE CHARGER ARE NOT WORKING RIGHT AWAY BECAUSE OF THIS ISSUE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    612388 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP M51PSEMIRED

    Patients

    Seq Age Sex Outcome Treatment
    1 Other