BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAGIC MOBILITY

    MDR report key: 7143771 · Received December 22, 2017

    Report

    Report Number
    3002905561-2017-00001
    Event Type
    Malfunction
    Date Received
    December 22, 2017
    Date of Event
    September 12, 2017
    Report Date
    November 16, 2017
    Manufacturer
    MAGIC MOBILITY
    Product Code
    ITI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT USED HIS POWER WHEELCHAIR AS A GROUND FOR HIS WELDER. THIS CAUSED A MAJOR OVERCURRENT RESULTING IN THE CHAIR TO SHORT AND THE WIRING TO MELT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    923935 MAGIC MOBILITY EXTREME X8 ITI MAGIC MOBILITY EXTREME X8

    Patients

    Seq Age Sex Outcome Treatment
    1 35 YR Other