BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FEATHERLIGHT TRANSPORT CHAIR

    MDR report key: 1912777 · Received November 24, 2010

    Report

    Report Number
    1056127-2010-00007
    Event Type
    Malfunction
    Date Received
    November 24, 2010
    Date of Event
    October 6, 2010
    Report Date
    October 25, 2010
    Manufacturer
    SHANGHAI HUBANG MEDICAL APPLICANCES CO. LTD.
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT'S CAREGIVER WAS PUSHING HER IN CHAIR DOWN CURB RAMP WHEN SHE HEARD A SNAP. SHE TILTED CHAIR BACK ON TWO WHEELS AND FRONT CASTERS ALLEGEDLY BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FEATHERLIGHT TRANSPORT CHAIR CHAIR, MECHANICAL IOR SHANGHAI HUBANG MEDICAL APPLICANCES CO. LTD. H3005

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR