BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3203424 · Received July 2, 2013

    Report

    Report Number
    1531186-2013-02905
    Date Received
    July 2, 2013
    Report Date
    June 7, 2013
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE CROSSBRACE ON AN ALR19HBFR TRANSPORT WHEELCHAIR HAS BROKEN AND BRACKET THAT HOLDS THE SEAT UPHOLSTERY IN PLACE WON'T STAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    302078 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALR19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other