BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FEATHERLIGHT TRANSPORT CHAIR

    MDR report key: 2245132 · Received September 8, 2011

    Report

    Report Number
    1056127-2011-00015
    Event Type
    Malfunction
    Date Received
    September 8, 2011
    Date of Event
    August 1, 2011
    Report Date
    September 8, 2011
    Manufacturer
    SHANGHAI HUBANG MEDICAL APPPLIANCES CO. LTD.
    Product Code
    INN
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS BEING WHEELED INTO THE BATHROOM WHEN FRONT CASTER DETACHED. THE PATIENT DID NOT FALL FROM THE CHAIR AND THERE WAS NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FEATHERLIGHT TRANSPORT CHAIR TRANSPORT CHAIR/INVALID CHAIR INN SHANGHAI HUBANG MEDICAL APPPLIANCES CO. LTD. DC150151

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR