BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2802286 · Received October 23, 2012

    Report

    Report Number
    1531186-2012-01253
    Date Received
    October 23, 2012
    Report Date
    October 22, 2012
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    DE, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER CALLED STATING THAT THE REAR AXLE ON THE LTTB19FR TRANSPORT CHAIR HAS ALLEGEDLY BROKEN. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT LTTB19FR

    Patients

    Seq Age Sex Outcome Treatment
    1 74 MO Other