FDA Adverse Event
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 4120333
·
Received September 26, 2014
Report
- Report Number
- 1531186-2014-04466
- Date Received
- September 26, 2014
- Report Date
- September 5, 2014
- Manufacturer
- DANYANG MAXTHAI MEDICAL EQUIPMENT
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
DEALER STATES BEARING FELL OUT OF RIGHT REAR WHEEL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 601911 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | DANYANG MAXTHAI MEDICAL EQUIPMENT | LTTR19FR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |