FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 4103121 · Received September 19, 2014

Report

Report Number
1531186-2014-04296
Date Received
September 19, 2014
Report Date
August 28, 2014
Manufacturer
KENSTONE METAL
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER DEALER STATES THAT THE WHEELS ARE WORN AND THEY ARE LEAVING A BLACK MARK ON THEIR FLOOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
582026 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM KENSTONE METAL TRHD22FR

Patients

Seq Age Sex Outcome Treatment
1 Other