BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2781909 · Received October 11, 2012

    Report

    Report Number
    1531186-2012-01164
    Date Received
    October 11, 2012
    Report Date
    October 10, 2012
    Manufacturer
    KENSTONE METAL
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(6) 2012 - THE DEALER REPORTED THAT THE TRAN19FR TRANSPORT CHAIR SEAT UNSNAPPED FROM THE CHAIR AND THE CUSTOMER FELL. THERE WAS NO MEDICAL ATTENTION SOUGHT AND NO REPORTED INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM KENSTONE METAL TRAN19FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other