FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3292452 · Received August 16, 2013

Report

Report Number: 1531186-2013-03885
Date Received: August 16, 2013
Report Date: August 6, 2013
Manufacturer: DANYANG MAXTHAI MEDICAL EQUIPMENT
Product Code: INM
Product Problem: Yes
Report Source: Manufacturer report
Reporter Location: IS
Reporter Occupation: MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

(B)(4) ISSUED MFR. REPORT # 1531186-2013-03885 INDICTING THE BRAND NAME AS A MECHANICAL (MANUAL) WHEELCHAIR INSTEAD OF A MECHANICAL CHAIR/TRANSPORT CHAIR; COMMON DEVICE NAME AS 890.3850 INSTEAD OF 890.3100.

Description of Event or Problem · 1

IT WAS REPORTED THAT A ALB19HBFR MANUAL WHEELCHAIR HAD A BROKEN FOOTREST.

Devices

Seq	Brand	Generic	Product Code	Manufacturer	Model	Lot	UDI-DI
396629	MECHANICAL CHAIR/TRANSPORT CHAIR	890.3100	INM	DANYANG MAXTHAI MEDICAL EQUIPMENT	ALB19HBFR

Patients

Seq	Age	Sex	Outcome	Treatment
1			Other