BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3103406 · Received May 9, 2013

    Report

    Report Number
    9616091-2013-00781
    Event Type
    Malfunction
    Date Received
    May 9, 2013
    Report Date
    April 12, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    PLEASE NOTE, MDR 9616091-2013-00781 WAS INADVERTENTLY SUBMITTED UNDER THE INCORRECT MANUFACTURER REGISTRATION NUMBER. THE CORRECT MANUFACTURER REGISTRATION NUMBER IS 1531186.

    Description of Event or Problem · 1

    DEALER STATED THAT THE FOOTREST ON THE RIGHT SIDE DOES NOT LATCH NOW, BUT DID WHEN THE CHAIR WAS FIRST RECEIVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    203257 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALB19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other