BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3140831 · Received May 31, 2013

    Report

    Report Number
    1531186-2013-02394
    Date Received
    May 31, 2013
    Report Date
    March 28, 2013
    Manufacturer
    UNKNOWN
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Additional Manufacturer Narrative · 1

    NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. INVACARE AWARENESS DATE (B)(4) 2013. COMPLAINT WAS NOT GIVEN TO REGULATORY AFFAIRS FOR PROCESSING UNTIL (B)(4) 2013.

    Description of Event or Problem · 1

    PER PROVIDER, THE CASTERS BROKE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    242027 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM UNKNOWN UNKNOWN VERANDA

    Patients

    Seq Age Sex Outcome Treatment
    1 Other