BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRONTO M61

    MDR report key: 4333525 · Received December 16, 2014

    Report

    Report Number
    1525712-2014-07985
    Event Type
    Malfunction
    Date Received
    December 16, 2014
    Date of Event
    September 24, 2014
    Report Date
    October 27, 2014
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ENDUSER ADVISED CHAIR WILL GO A LITTLE BIT AND THEN STOPPED. ENDUSER ADVISED SOMEONE CAME OUT TO LOOK AT CHAIR AND ADVISED NEED BATTERIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    825217 PRONTO M61 WHEELCHAIR, POWERED ITI INVACARE TAYLOR STREET M71

    Patients

    Seq Age Sex Outcome Treatment
    1 Other