BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4120183 · Received September 25, 2014

    Report

    Report Number
    1531186-2014-04464
    Date Received
    September 25, 2014
    Report Date
    September 5, 2014
    Manufacturer
    UNKNOWN
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES THAT ARMPAD PLASTIC HOLD CRACKED IN HALF AND SCREWS CAME OUT. CUSTOMER REPORTS NOT HITTING ANYTHING AND DOES NOT FOLD UP FOR TRANSPORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    598305 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM UNKNOWN ALB19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other