FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 2990584 · Received March 5, 2013

Report

Report Number
1531186-2013-00882
Date Received
March 5, 2013
Report Date
February 6, 2013
Manufacturer
JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PER PROVIDER THE SEAT UPHOLSTERY IS TORN DOWN THE SEAM. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
93777 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRHD22FR

Patients

Seq Age Sex Outcome Treatment
1 Other