BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2874822 · Received December 16, 2012

    Report

    Report Number
    1531186-2012-01772
    Date Received
    December 16, 2012
    Report Date
    December 16, 2012
    Manufacturer
    GOODBABY
    Product Code
    IOR
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES BOTTOM OF THE FRAME HAS BOTH PINS BROKEN OFF AND WILL NOT HOLD THE CHAIR UP FROM RECLINE POSITION. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 IOR GOODBABY IH6074A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other