BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETAC SWIFT MOBIL

    MDR report key: 2628702 · Received June 13, 2012

    Report

    Report Number
    3008986539-2012-00053
    Event Type
    Malfunction
    Date Received
    June 13, 2012
    Date of Event
    January 24, 2012
    Report Date
    February 17, 2012
    Manufacturer
    ETAC SUPPLY CENTER AB
    Product Code
    INM
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SW
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    THE SCREW OF ONE OF THE CASTERS HAS NOT BEEN ENOUGH TIGHTENED. IT IS POSSIBLE TO TIGHTEN THE SCREW MORE. NO INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ETAC SWIFT MOBIL CHAIR, WITH CASTERS - INM INM ETAC SUPPLY CENTER AB 80209460 NA

    Patients

    Seq Age Sex Outcome Treatment
    1