BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4131569 · Received October 1, 2014

    Report

    Report Number
    1531186-2014-04608
    Date Received
    October 1, 2014
    Report Date
    September 11, 2014
    Manufacturer
    GOODBABY
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER PROVIDER, BEARINGS FELL OUT OF THE REAR WHEELS ON THIS CHAIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    612269 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM GOODBABY IH6074A

    Patients

    Seq Age Sex Outcome Treatment
    1 Other