BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3930190 · Received July 11, 2014

    Report

    Report Number
    1531186-2014-02490
    Date Received
    July 11, 2014
    Date of Event
    October 9, 2013
    Report Date
    June 6, 2014
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
    Product Code
    INM
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT A ELDERLY MAN WITH DEMENTIA FELL THROUGH A TRANSPORT CHAIR AND WAS FOUND ON TOP OF THE FRAME AND FRIGHTENED. THEY WERE ABLE TO GET HIM UP AND HAD HIM CHECKED BY A DOCTOR HE SUFFERED BRUISING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    406444 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRAN17FR

    Patients

    Seq Age Sex Outcome Treatment
    1 88 MO Other