FDA Adverse Event
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 3112825
·
Received May 14, 2013
Report
- Report Number
- 1531186-2013-02069
- Date Received
- May 14, 2013
- Report Date
- April 18, 2013
- Manufacturer
- DANYANG MAXTHAI MEDICAL EQUIPMENT
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CONSUMER ALLEGES THAT A FEW MONTHS INTO HAVING THE CHAIR IT MADE A CLICKING NOISE AND WHEN SHE TOOK IT IN FOR SERVICE THEY ADVISED THE WHEEL BEARING HAS TO BE REPLACED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 213616 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | DANYANG MAXTHAI MEDICAL EQUIPMENT | LTTR19FR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |