BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2914517 · Received January 14, 2013

    Report

    Report Number
    9616091-2013-00075
    Event Type
    Malfunction
    Date Received
    January 14, 2013
    Report Date
    January 14, 2013
    Manufacturer
    INVAMEX
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). IT WAS REPORTED BY THE FACILITY STAFF THAT THE 9XT MECHANICAL WHEELCHAIR PIVOT LINK WAS BROKEN. THERE WAS NO PATIENT INJURY REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    20391 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM INVAMEX 9XT

    Patients

    Seq Age Sex Outcome Treatment
    1 Other