BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    DURO-MED TRANSPORT CHAIR

    MDR report key: 2059485 · Received March 31, 2011

    Report

    Report Number
    1219232-2011-00004
    Event Type
    Malfunction
    Date Received
    March 31, 2011
    Date of Event
    March 17, 2011
    Report Date
    March 30, 2011
    Manufacturer
    SHANGHAI INTCO MEDICAL SUPPLY CO LTD
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    TRANSPORT CHAIR FOLDED UP ON INDIVIDUAL WHILE SITTING, CAUSING HER TO FALL AND SCRATCH HERSELF ON SCREWS OF HAND BRAKE ASSEMBLY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DURO-MED TRANSPORT CHAIR TRANSPORT CHAIR IOR SHANGHAI INTCO MEDICAL SUPPLY CO LTD 501-1018-2100 5628671109

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN