BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    POWER CHAIR 20 WIDE BY 18 DEEP FOR PMI

    MDR report key: 4666501 · Received April 8, 2015

    Report

    Report Number
    1525712-2015-02284
    Event Type
    Malfunction
    Date Received
    April 8, 2015
    Report Date
    March 27, 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

    THE DEALER STATES THAT LATER ON IN THE DAY THE DISPLAY SAYS MISSING INFO, NXC INT FC AND IS HAPPENING ALMOST EVERYDAY. THE DEALER STATES THE CUSTOMER TURNS THE JOYSTICK OFF AND THEN BACK ON AND IT WORKS FINE FOR A LITTLE BIT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    231540 POWER CHAIR 20 WIDE BY 18 DEEP FOR PMI WHEELCHAIR, POWERED ITI INVACARE TAYLOR STREET 3GAR-CG

    Patients

    Seq Age Sex Outcome Treatment
    1 Other