BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4152621 · Received October 8, 2014

    Report

    Report Number
    1525712-2014-06817
    Event Type
    Malfunction
    Date Received
    October 8, 2014
    Report Date
    September 22, 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

    PER DEALER, THE JOYSTICK WILL COME ON AND THE LIGHTS SCROLL. THE JOYSTICK WAS JUST REPLACED UNDER THE RECALL IN (B)(6), 2014.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    631220 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSC2-CG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other