FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3140775 · Received May 31, 2013

Report

Report Number
1531186-2013-02388
Date Received
May 31, 2013
Report Date
May 6, 2013
Manufacturer
UNKNOWN
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES SEAT UPHOLSTERY RIPPED AT SEAM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
241986 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM UNKNOWN UNKNOWN VERANDA

Patients

Seq Age Sex Outcome Treatment
1 Other