BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FEATHERLIGHT TRANSPORT CHAIR

    MDR report key: 2503972 · Received March 21, 2012

    Report

    Report Number
    1056127-2012-00004
    Event Type
    Malfunction
    Date Received
    March 21, 2012
    Date of Event
    March 3, 2012
    Report Date
    March 21, 2012
    Manufacturer
    SHANGHAI HUBANG MEDICAL APPLICANCES CO. LTD.
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT'S WIFE WAS PUSHING TRANSPORT CHAIR WHEN FRONT CASTER DETACHED. THE WIFE WAS ABLE TO BALANCE THE CHAIR IN POSITION, THERE WAS NO FALL FROM THE SEAT OR INJURY TO THE PT.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR