BEUDAMED
    FDA Adverse Event Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4222741 · Received November 4, 2014

    Report

    Report Number
    1531186-2014-05331
    Date Received
    November 4, 2014
    Report Date
    October 16, 2014
    Manufacturer
    MERITS HEALTH PRODUCTS CO., LTD
    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

    DEALER STATES, THE FOOTREST WILL NOT STAY UP. DEALER ALSO STATES THE MOTORS ARE MAKING A GRINDING NOISE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    708321 POWERED WHEELCHAIR 890.3860 ITI MERITS HEALTH PRODUCTS CO., LTD P31BLUE

    Patients

    Seq Age Sex Outcome Treatment
    1 Other