FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3203355 · Received July 2, 2013

Report

Report Number
1531186-2013-02921
Date Received
July 2, 2013
Report Date
June 10, 2013
Manufacturer
DANYANG MAXTHAI MEDICAL EQUIPMENT
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

THE PROVIDER STATED, THE SEAT BELT IS BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
301875 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALR19HBFR

Patients

Seq Age Sex Outcome Treatment
1 Other