FDA Adverse Event
Summary report: N
MECHANICAL CHAIR/TRANSPORT CHAIR
MDR report key: 4121161
·
Received September 26, 2014
Report
- Report Number
- 1531186-2014-04429
- Date Received
- September 26, 2014
- Report Date
- September 5, 2014
- Manufacturer
- JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
- Product Code
- INM
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
IT WAS REPORTED BY THE DEALER THAT THE FABRIC TORE ON THE RIGHT HAND SIDE, KNEE TO HIP. NO PATIENT INJURY REPORTED, NO ADDITIONAL INFORMATION PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 601782 | MECHANICAL CHAIR/TRANSPORT CHAIR | 890.3100 | INM | JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD | TRAN19FR |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |