FDA Adverse Event
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 3934796
·
Received July 15, 2014
Report
- Report Number
- 1531186-2014-02533
- Date Received
- July 15, 2014
- Date of Event
- June 9, 2014
- Report Date
- June 9, 2014
- Manufacturer
- JIANGSU YUYUE MEDICAL EQUIP.
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KS, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER PROVIDER WHEN THE CHAIR WAS RECEIVED, THE RIGHT FRONT WHEEL WAS MISSHAPEN AND IT BUMPED WHEN THE CHAIR WAS MOVING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 413869 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | JIANGSU YUYUE MEDICAL EQUIP. | TRHD22FR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |