BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3932497 · Received July 14, 2014

    Report

    Report Number
    1531186-2014-02513
    Date Received
    July 14, 2014
    Report Date
    June 9, 2014
    Manufacturer
    UNKNOWN
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE BACK WHEELS ARE SPLIT ON THE LTTR17FR PATIENT TRANSPORT. END USERS DAUGHTER ADVISED NOTICED ABOUT A YEAR AGO, NO INJURY, END USER DAUGHTER COULD NOT PROVIDE ANY FURTHER INFORMATION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    410438 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM UNKNOWN LTTR17FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other