BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2781840 · Received October 11, 2012

    Report

    Report Number
    1531186-2012-01161
    Date Received
    October 11, 2012
    Report Date
    October 10, 2012
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    A CONSUMER CALLED IN AND STATED THE LEFT REAR WHEEL OF CHAIR IS EXTREMELY LOOSE AND WOBBLY EVEN THOUGH THE ASSEMBLY IS FULLY TIGHTENED. NO REPORT OF INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 IOR DANYANG MAXTHAI MEDICAL EQUIPMENT ALR19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other