BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2802323 · Received October 23, 2012

    Report

    Report Number
    1531186-2012-01262
    Date Received
    October 23, 2012
    Report Date
    October 23, 2012
    Manufacturer
    JAEYONG
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    (B)(4) - IT WAS REPORTED BY THE CONSUMER THAT THE ALB19HBFR TRANSPORT WHEELCHAIR ALUMINUM HANDLE BROKE NEAR THE WELD JOINT. THERE WAS NO PATIENT INJURY REPORTED

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JAEYONG ALB19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 55 Other