BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3943201 · Received July 18, 2014

    Report

    Report Number
    1525712-2014-03782
    Date Received
    July 18, 2014
    Date of Event
    June 13, 2014
    Report Date
    June 13, 2014
    Manufacturer
    UNKNOWN
    Product Code
    INM
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    FACILITY STATES THAT LIFT TIPPED WHILE PATIENT IN LIFT. PATIENT WAS INJURED ON LEFT ARM AND RIGHT HIP

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    421667 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM UNKNOWN RPL600-1

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention