BEUDAMED
    FDA Adverse Event Other Summary report: N

    INVACARE POWER WHEELCHAIR

    MDR report key: 572549 · Received February 11, 2005

    Report

    Report Number
    1525712-2005-00010
    Event Type
    Other
    Date Received
    February 11, 2005
    Date of Event
    January 18, 2005
    Report Date
    February 10, 2005
    Manufacturer
    INVACARE CORPORATION MANUFACTURING FACILITY
    Product Code
    ITI
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    NO INFORMATION

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER WAS GOING DOWN AN INCLINE AND HIT A CRACK IN THE STREET ALLEGEDLY CAUSING THE WHEELCHAIR TO TIP OVER AND LAND ON TOP OF THEM. USER WAS REPORTEDLY HOSPITALIZED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE POWER WHEELCHAIR 890.3860 ITI INVACARE CORPORATION MANUFACTURING FACILITY M51 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other