FDA Adverse Event
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 3871456
·
Received June 13, 2014
Report
- Report Number
- 1531186-2014-02113
- Date Received
- June 13, 2014
- Date of Event
- May 15, 2014
- Report Date
- May 16, 2014
- Manufacturer
- JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE SEAT RIPPED ON ONE SIDE AT THE RIVETS ON THE (B)(4) TRANSPORT CHAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 349692 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD | TRHD22FR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |