FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3243647 · Received July 23, 2013

Report

Report Number
1531186-2013-03339
Date Received
July 23, 2013
Report Date
July 3, 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

END USER'S DAUGHTER SAID THE FRONT RIGHT WHEEL IS COMING OUT OF THE HEAD TUBE AND NOW IS BENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343720 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALR19HBFR

Patients

Seq Age Sex Outcome Treatment
1 Other