BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4211234 · Received October 29, 2014

    Report

    Report Number
    1525712-2014-07353
    Event Type
    Malfunction
    Date Received
    October 29, 2014
    Report Date
    October 8, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    THE DEALER STATED THAT THE JOYSTICK IS NOT WARRANTY AND WAS ALREADY REPLACED BY THE RECALL. THIS WAS DAMAGE TO THE ON/OFF SWITCH CUSTOMER ABUSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    691564 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET TDXSP-CG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other