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