BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4221396 · Received November 3, 2014

    Report

    Report Number
    1525712-2014-07582
    Event Type
    Malfunction
    Date Received
    November 3, 2014
    Report Date
    October 15, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER, THE JOYSTICK IS ACTING UP, WHEN IS GOING FULL SPEED, THE CHAIR WILL SLOW DOWN AND THEN SOMETIMES SPEEDS BACK UP OR STAYS SLOW.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    701504 POWERED WHEELCHAIR 890.3860 ITI INVACARE TAYLOR STREET R51

    Patients

    Seq Age Sex Outcome Treatment
    1 Other