BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FEATHERLIGHT TRANSPORT CHAIR

    MDR report key: 2309217 · Received October 21, 2011

    Report

    Report Number
    1056127-2011-00017
    Event Type
    Malfunction
    Date Received
    October 21, 2011
    Report Date
    October 21, 2011
    Manufacturer
    SHANGHAI HUBANG MEDICAL APPLIANCES CO LTD.
    Product Code
    INN
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT STATES ABOUT TEN MONTHS AGO HE NOTICED TRANSPORT CHAIR WAS NOT ROLLING PROPERLY. HE OBSERVED FRONT CASTER STEM WAS BENT AND COULD NOT RELATE ANY EVENT WHICH COULD HAVE RESULTED IN SAME. PATIENT REMOVED FRONT CASTER. NO FALL, NO INJURY, NO ADVERSE CONSEQUENCES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FEATHERLIGHT TRANSPORT CHAIR TRANSPORT CHAIR INN SHANGHAI HUBANG MEDICAL APPLIANCES CO LTD. DC150111

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR