BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TDXSP ELECTRIC RED EURO WIDE BASE W/ 23-1 SSD GEAR BOX

    MDR report key: 4556273 · Received March 2, 2015

    Report

    Report Number
    1525712-2015-01492
    Event Type
    Malfunction
    Date Received
    March 2, 2015
    Report Date
    February 23, 2015
    Manufacturer
    INVACARE TAYLOR STREET
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER CALLED STATING THAT HE HAD ALREADY ORDERED A MOTOR ACTUATOR FOR THE LNX, BUT WHEN HE WENT TO INSTALL IT, HE NOTICED THAT THE HARDWARE WAS ALL BENT FROM THE END USER RUNNING INTO ITEMS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    144998 TDXSP ELECTRIC RED EURO WIDE BASE W/ 23-1 SSD GEAR BOX WHEELCHAIR, POWERED ITI INVACARE TAYLOR STREET TDXSP-MCG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other