BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3911851 · Received July 3, 2014

    Report

    Report Number
    1531186-2014-02348
    Date Received
    July 3, 2014
    Date of Event
    May 28, 2014
    Report Date
    May 30, 2014
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ADVISED LEFT WHEEL LOCK IS BROKEN. END-USER WAS PICKED UP BY DIAL A RIDE AND THIS IS WHEN IT HAPPENED. NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    391366 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRHD22FR

    Patients

    Seq Age Sex Outcome Treatment
    1 90 MO Other