BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4121787 · Received September 26, 2014

    Report

    Report Number
    1531186-2014-04480
    Date Received
    September 26, 2014
    Report Date
    September 8, 2014
    Manufacturer
    JAEYONG
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    SEAT GUIDE CLIP HAS BROKEN ON THE LTTR19FR TRANSPORT CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    601695 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JAEYONG LTTR19FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other