FDA Adverse Event
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 2862478
·
Received December 10, 2012
Report
- Report Number
- 1531186-2012-01680
- Date Received
- December 10, 2012
- Report Date
- December 7, 2012
- Manufacturer
- DANYANG MAXTHAI MEDICAL EQUIPMENT
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATED THAT THE BRAKES ON AN ALB19HBFR MANUAL WHEELCHAIR ARE NOT OPERATING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | DANYANG MAXTHAI MEDICAL EQUIPMENT | ALB19HBFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |