BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWERED WHEELCHAIR

    MDR report key: 4242817 · Received November 11, 2014

    Report

    Report Number
    3008262382-2014-01940
    Event Type
    Malfunction
    Date Received
    November 11, 2014
    Report Date
    October 23, 2014
    Manufacturer
    INVACARE REHABILITATION EQUIP
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER DEALER, THE RIGHT MOTOR IS EXTREMELY OVER HEATING, CAN NOT EVEN PUT YOUR HAND ON THE MOTOR. AND THE LEFT SIDE HAD A BAD SMELL OF HOT RUBBER, NO SMOKE SEEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    725189 POWERED WHEELCHAIR 890.3860 ITI INVACARE REHABILITATION EQUIP M41SRR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other