BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3163529 · Received June 11, 2013

    Report

    Report Number
    1531186-2013-02548
    Date Received
    June 11, 2013
    Report Date
    May 14, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES THAT THE FRONT RIGHT CASTER FELL OUT OF THE CASTER TUBE AND SMALL PARTS WERE FALLING OUT OF THE TUBE AS WELL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    264622 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALB19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other