FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3013809 · Received March 20, 2013

Report

Report Number
1531186-2013-01166
Date Received
March 20, 2013
Report Date
February 20, 2013
Manufacturer
GOODBABY
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4). ONLY ONE MDR REPORT WILL BE SUBMITTED FOR THIS EVENT, ALTHOUGH FOUR DIFFERENT COMPLAINTS WERE CREATED BECAUSE OF DIFFERENT PARTS NEEDED TO REPAIR THE UNIT, AND THE FILE NUMBERS ARE THE FOLLOWING: (B)(4).

Description of Event or Problem · 1

(B)(4) THE DEALER REPORTED THAT THE (B)(4) 3-POSITION RECLINER REAR CASTERS WERE NOT LOCKING, AND BOTH ARM RESTS WERE REPLACED. THERE WAS NO INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
115599 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM GOODBABY IH6065A/IH60

Patients

Seq Age Sex Outcome Treatment
1 Other