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 |