FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3031706 · Received April 2, 2013

Report

Report Number
1531186-2013-01376
Date Received
April 2, 2013
Report Date
March 6, 2013
Manufacturer
JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES (B)(4) BEAD WELD BY CAM LOCK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
133737 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRAN19FR

Patients

Seq Age Sex Outcome Treatment
1 Other