BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 2932059 · Received January 28, 2013

    Report

    Report Number
    1531186-2013-00330
    Date Received
    January 28, 2013
    Report Date
    January 28, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PROVIDER STATES THE FRAME BROKE ON THE LEFT SIDE. ALSO BENT, BUT NOT BROKEN COMPLETELY, ON THE RIGHT SIDE, ON THE PART THAT IS BETWEEN THE PUSH HANDLES AND THE ARMRESTS. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    38210 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALB19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other