BEUDAMED
    FDA Adverse Event Summary report: N

    MECHANICAL CHAIR/TRANSPORT CHAIR

    MDR report key: 4212489 · Received October 30, 2014

    Report

    Report Number
    1531186-2014-05208
    Date Received
    October 30, 2014
    Report Date
    October 10, 2014
    Manufacturer
    DANYANG MAXTHAI MEDICAL EQUIPMENT
    Product Code
    INM
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER ADVISED ONE OF THE FRONT CASTERS, UNKNOWN WHICH SIDE, THE BEARING WAS BROKE. HE ADVISED HE WAS PUSHING THE CHAIR AND THE BEARING COLLAPSED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    696305 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT LTTR19FR

    Patients

    Seq Age Sex Outcome Treatment
    1 Other