FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3171332 · Received June 14, 2013

Report

Report Number
1531186-2013-02616
Date Received
June 14, 2013
Report Date
May 21, 2013
Manufacturer
KENSTONE METAL
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER ALLEGES THE WHEEL LOCK BROKE OFF.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
271106 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM KENSTONE METAL TRHD22FR

Patients

Seq Age Sex Outcome Treatment
1 Other