FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 2921178 · Received January 17, 2013

Report

Report Number
1531186-2013-00227
Date Received
January 17, 2013
Report Date
January 17, 2013
Manufacturer
KENSTONE METAL
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CONSUMER STATED THAT A SCREW THAT OPERATES THE FOOTREST ON A TRHD22FR TRANSPORT CHAIR FELL OUT CAUSING THE FOOTREST TO FALL AND BEND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
27016 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM KENSTONE METAL TRHD22FR

Patients

Seq Age Sex Outcome Treatment
1 Other