BEUDAMED
    FDA Adverse Event Summary report: N

    WHEELCHAIR ACCESSORY

    MDR report key: 2862955 · Received December 10, 2012

    Report

    Report Number
    1531186-2012-01664
    Date Received
    December 10, 2012
    Report Date
    December 6, 2012
    Manufacturer
    NEW PROKIN
    Product Code
    INE
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) -THE DEALER REPORTED THAT THE R110 PATIENT TRANSPORT SLING WAS UNRAVELING ON THE HOOKS. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WHEELCHAIR ACCESSORY 890.3910 INE NEW PROKIN R110

    Patients

    Seq Age Sex Outcome Treatment
    1 Other