BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETAC SWIFT MOBIL

    MDR report key: 3040388 · Received March 12, 2013

    Report

    Report Number
    3008986539-2013-00006
    Event Type
    Malfunction
    Date Received
    March 12, 2013
    Date of Event
    January 1, 2013
    Report Date
    February 5, 2013
    Manufacturer
    ETAC SUPPLY CENTER AB
    Product Code
    INM
    PMA / PMN Number
    EXEMPT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SW
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    LEFT FRONT CASTER FELL OF WHEN TRANSFERRING THE PT. NO INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    104380 ETAC SWIFT MOBIL CHAIR, WITH CASTERS - INM INM ETAC SUPPLY CENTER AB 80209406

    Patients

    Seq Age Sex Outcome Treatment
    1