FDA Adverse Event
Malfunction
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 3852848
·
Received June 6, 2014
Report
- Report Number
- 1834066-2014-00007
- Event Type
- Malfunction
- Date Received
- June 6, 2014
- Report Date
- April 18, 2014
- Manufacturer
- CHAMPION MANUFACTURING
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- RI, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
CUSTOMER STATES THE FORKS ARE BENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 330964 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | CHAMPION MANUFACTURING | HTR5500 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |