FDA Adverse Event Other Summary report: N

INVACARE POWER WHEELCHAIR

MDR report key: 689607 · Received March 17, 2006

Report

Report Number
1525712-2006-00019
Event Type
Other
Date Received
March 17, 2006
Date of Event
February 1, 2006
Report Date
March 16, 2006
Manufacturer
INVACARE CORPORATION
Product Code
ITI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NO INFORMATION

Narratives

Description of Event or Problem · 1

THE CONSUMER STATES HE WAS GOING DOWN THE RAMP OF HIS VAN. HE LET GO HIS INDUCTIBE, AND THE CHAIR ALLEGEDLY VEERED RIGHT AND WENT OFF THE RAMP. NO INJURY ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INVACARE POWER WHEELCHAIR 890.3860 ITI INVACARE CORPORATION TDX5 NA

Patients

Seq Age Sex Outcome Treatment
1 69 YR Other