BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4122718 · Received September 26, 2014

    Report

    Report Number
    1531186-2014-04489
    Date Received
    September 26, 2014
    Report Date
    September 10, 2014
    Manufacturer
    JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD
    Product Code
    INM
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    RI, US
    Reporter Occupation
    PHYSICAL THERAPIST

    Narratives

    Description of Event or Problem · 1

    FACILITY (PHYSICAL THERAPIST) REPORTED THAT THE SEAT UPHOLSTERY ON A TRHD22FR TRANSPORT CHAIR HAS A SIX INCH RIP ON THE LEFT, CAUSED THE PATIENT TO FALL. PATIENT HAS BRUISES ON BACK AND BUTTOCKS, NO MEDICAL ATTENTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    602117 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM JIANGSU YUYUE MEDICAL EQUIPMENT & SUPPLY CO., LTD TRHD22FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other