FDA Adverse Event
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 4061319
·
Received September 4, 2014
Report
- Report Number
- 1531186-2014-03813
- Date Received
- September 4, 2014
- Date of Event
- July 28, 2014
- Report Date
- July 28, 2014
- Manufacturer
- MAXTHAI - MX - E. CHINA DO NOT USE AS OEM
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER ADVISED FRONT RIGGINGS ARE WOBBLY. NO INJURY REPORTED. DEALER COULD NOT PROVIDE ANY FURTHER INFORMATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 540523 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | MAXTHAI - MX - E. CHINA DO NOT USE AS OEM | ALB19HBFR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |