BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ETAC SWIFT MOBIL

    MDR report key: 3040390 · Received March 12, 2013

    Report

    Report Number
    3008986539-2013-00007
    Event Type
    Malfunction
    Date Received
    March 12, 2013
    Date of Event
    January 31, 2013
    Report Date
    February 20, 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

    ONE OF THE FRONT CASTERS CAME LOOSE WHILE CARER PUSHED THE CHAIR TO THE PT. THERE WAS NO PT IN THE CHAIR. NO INJURY WAS REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    104269 ETAC SWIFT MOBIL CHAIR, WITH CASTERS - INM INM ETAC SUPPLY CENTER AB 80209400

    Patients

    Seq Age Sex Outcome Treatment
    1