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