BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3121186 · Received May 20, 2013

    Report

    Report Number
    1531186-2013-02150
    Date Received
    May 20, 2013
    Report Date
    April 24, 2013
    Manufacturer
    GOODBABY
    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

    WARRANTY FOR (B)(4) CHAIR RATCHET BAR BROKE PER PROVIDER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    221386 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM GOODBABY IH6065A/IH68

    Patients

    Seq Age Sex Outcome Treatment
    1 Other