FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3970250 · Received July 31, 2014

Report

Report Number
1531186-2014-02872
Date Received
July 31, 2014
Report Date
June 20, 2014
Manufacturer
KENSTONE METAL
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CONSUMER ALLEGED THAT THE REAR SEAT GUIDE BROKE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
448438 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM KENSTONE METAL TRAN19FR

Patients

Seq Age Sex Outcome Treatment
1 Other