INVACARE PROPEL BACK 18 IN WIDE AIRPTMBDY18

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-12-02 for INVACARE PROPEL BACK 18 IN WIDE AIRPTMBDY18 manufactured by Invacare Rehabilitation Equipment Co..

Event Text Entries

[32784131] Should additional information become available, a supplemental record will be filed.
Patient Sequence No: 1, Text Type: N, H10


[32784132] The tbm is stating that the dealer now states the base caught on fire, that it could be exaggerated because he sees no indication of fire.
Patient Sequence No: 1, Text Type: D, B5


[32787535] Additional/updated information was added to reflect the device being returned to the manufacturer for evaluation. The result of the evaluation was that an odor was observed when the battery box shroud was removed, and there was swelling to the battery housing. However, there was no evidence indicating a fire. This device falls under the battery recall z-2358-2015. The units were recalled due to the batteries used in the invacare pronto air personal transporter power wheelchairs having the possibility to overheat during charging which could potentially result in leaking battery acid and/or swelling battery, loss of use, chemical burns and/or property damage.
Patient Sequence No: 1, Text Type: N, H10


[32787536] The tbm is stating that the dealer now states the base caught on fire, that it could be exaggerated because he sees no indication of fire.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008262382-2015-01985
MDR Report Key5260061
Date Received2015-12-02
Date of Report2015-12-03
Date Mfgr Received2015-12-03
Date Added to Maude2015-12-02
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationMEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKEVIN GUYTON
Manufacturer StreetONE INVACARE WAY
Manufacturer CityELYRIA OH 44035
Manufacturer CountryUS
Manufacturer Postal44035
Manufacturer Phone8003336900
Manufacturer G1INVACARE REHABILITATION EQUIPMENT CO.
Manufacturer StreetNO.5 WEIXI ROAD, SIP
Manufacturer CitySUZHOU JIANGSU 215121
Manufacturer CountryCH
Manufacturer Postal Code215121
Single Use3
Previous Use Code3
Removal Correction NumberZ-2358-2015
Event Type3
Type of Report3

Device Details

Brand NameINVACARE PROPEL BACK 18 IN WIDE
Generic NameCUSHION, WHEELCHAIR
Product CodeIMP
Date Received2015-12-02
Returned To Mfg2015-12-03
Model NumberAIRPTMBDY18
OperatorLAY USER/PATIENT
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerINVACARE REHABILITATION EQUIPMENT CO.
Manufacturer AddressNO.5 WEIXI ROAD, SIP SUZHOU JIANGSU 215121 CH 215121


Patients

Patient NumberTreatmentOutcomeDate
10 2015-12-02

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