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 |