BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3133369 · Received May 29, 2013

    Report

    Report Number
    1531186-2013-02346
    Date Received
    May 29, 2013
    Report Date
    January 17, 2013
    Manufacturer
    KENSTONE METAL
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    VA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4). COMPLAINT WAS NOT GIVEN TO REGULATORY AFFAIRS FOR PROCESSING UNTIL (B)(4) 2013.

    Description of Event or Problem · 1

    DEALER STATED THAT THE WHEELLOCKS ON A TRAN17FR TRANSPORT WHEELCHAIR ARE NOT STAYING. WASHER CAME OFF ONE SIDE AND OTHER VERY LOOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    235166 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM KENSTONE METAL TRAN17FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other