BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    P300 (20") POWER W/CHAIR

    MDR report key: 80357 · Received March 31, 1997

    Report

    Report Number
    2082643-1997-00472
    Event Type
    Malfunction
    Date Received
    March 31, 1997
    Date of Event
    March 13, 1997
    Report Date
    March 31, 1997
    Manufacturer
    QUICKIE DESIGNS INC.
    Product Code
    ITI
    Removal / Correction Number
    NA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    KY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    REMOTE BOX WITH ARM R. DEALER CLAIMS IT TAKES OFF ON ITS OWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 P300 (20") POWER W/CHAIR WHEELCHAIR, POWERED ITI QUICKIE DESIGNS INC. NA P/N-920230

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Other