BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4211156 · Received October 29, 2014

    Report

    Report Number
    1525712-2014-07350
    Event Type
    Malfunction
    Date Received
    October 29, 2014
    Report Date
    October 8, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER STATED THAT BOTH MOTORS ARE LEAKING GREASE, BUT THE LEFT MOTOR IS LEAKING MORE THAN THE RIGHT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    691905 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP TDXSI-HD

    Patients

    Seq Age Sex Outcome Treatment
    1 Other