BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 3974816 · Received August 4, 2014

    Report

    Report Number
    1531186-2014-02940
    Date Received
    August 4, 2014
    Report Date
    June 27, 2014
    Manufacturer
    JAEYONG
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE RIGHT SIDE BRAKE HANDLE AND CABLE WERE BROKEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    453241 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JAEYONG ALR19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other