BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4212410 · Received October 30, 2014

    Report

    Report Number
    1531186-2014-05204
    Date Received
    October 30, 2014
    Report Date
    October 9, 2014
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    PER DAUGHTER, THE CHAIR IS NEW OUT OF THE BOX, THE RELEASE PIN IS NOT LOCKING INTO PLACE, CAUSING THE UPPER BACK CANE TO FALL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    695701 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALB19HBFR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other